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SAN JOAQUIN COUNTY <br />E 'IRONMENTAL HEALTH DEPAF, ENT Shelly <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />C U5SAW C <br />I t Date: — I <br />Address: '�2 g <br />1 <br />-- ; ., City: STS..J.r <br />Zip Code: 9 1 <br />Owner/Operator: <br />CCOSS i LCC <br />Telephone: 1'52 — 5 5-7 -7 <br />Program Element: I <br />Program Record: -Yoo m 'j <br />Inspection Type: � 1� <br />Flow Rate (gpm): <br />9)O <br />pH: <br />.9c) <br />Chlorine (ppm): <br />'r- I\.g <br />c c, O.2 <br />Cyanuric Acid (ppm): <br />b0 <br />Temp: <br />Reinspection on or after: <br />other: <br />RECIRCULATION EQUIPMENT'- <br />The marked violations represent Health & Safety <br />Code Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />nj ( 2 C. <br />\ <br />/ Q <br />❑ Chlorinator <br />❑ Flowmeter <br />2'C) <br />❑ Gauges <br />J f <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />G\ ( <br />t <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />2 \ C> ( e <br />-�S <br />CONSTRUCTION <br />{\ - <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />\ <br />SAFETY. EQUIPMENT <br />I. <br />3 5 <br />1� <br />1 <br />❑ Rescue Pole <br />1� Z <br />❑ Life Ring. <br />❑ Safety Signs <br />❑ Lifeguard <br />Pool/Deck Lighting YaIt <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROO.MS. <br />Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <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 />Influent: `q <br />Effluent: ' <br />ived By: <br />Timeln: Cr S� <br />Time Out: � 01 <br />Inspected by: <br />\C • L�n�m <br />�-A 13 _0 f <br />EHD36-015-6-12 SWIMMING POOL OIR 919AN` WA-}vlm Page J_of_ <br />