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oP:vin. SAN JOAQUIN COUNTY <br />ENVL .MENTAL HEALTH DEPARTMC <br />1868 East Hazelton Avenue, Stockton, CA 95205-oe32 <br />rFo Y Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />S'pa <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: f/2 'IL 'e 177 P P Date: <br />Address: /I) Hje/,4-- City: Zip Code: <br />Owner/Operator: zt Telephone: "' 91 <br />Program Element: "L Program Record: 03 QX- Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />1.0 <br />Chlgli^n�e ((Ir� <br />r� ' Zee <br />Cyanuric Acid (ppm): <br />9 (/ <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters- <br />) Vt.l <br />❑ Pumps <br />n ry6AQ Z <br />❑ Chlorinator _ <br />❑ Flowmeter <br />77 Z r <br />❑ Gauges <br />E] Skimmer & Gutters <br />❑ Back Flow Prevention <br />�i'1/V�t-W1 <br />❑ Main Drain Cover <br />Al h(4 Ll 0 S' p1/ <br />❑ Equalizer Line Cover <br />.CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />SAFETY. EQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />, <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />- <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />" MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />q' <br />N ��{ , � 1'14m' ( /� onj e j <br />Influent: <br />Effluent: <br />d h(c•' S v(4 I ,� c Np d 0w /Q� Ipwiinhwh <br />Time In: <br />Race iv y: <br />Inspected by: <br />y <br />EHD 36-01 5-8-12 SWIMMING POOL OR page — of <br />