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SAN JOAQUIN COUNTY <br /> EW JNMENTAL HEALTH DEPARTN 7 <br /> • 1868 Eaet Hazelton Avenue, Stockton, CA 95205-6232 <br /> /FpP% Telephone:(209) 468-3420 Fax:(209)468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: t, \W611— dkkb Date: <br /> Address: 'rte [I s1 yd_cfty: Stp6$—U1-) Zip Code: 9CaZlel <br /> Owner/Operator: r1+ CIS Telephone: -L— <br /> Program Element: '3(o II Program Record: 4n (j�j Ip0 55ic(j Inspection Type: -h Ile <br /> Flow Rate(gpm): pH: Chlorinem): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> " � b�'1 Other: <br /> The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps f <br /> ❑ Chlorinator U (N IGS a SI Qj)tponce <br /> ❑ Flowmeter f1,1 <br /> E] g Gauges 11 <br /> ❑ Skimmer&Gutters (� (JOr�- <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover { (J r <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates )'-t-U) U I ddwr is <br /> ❑ Decking&Coping I El Wade Pool-2 Main Drains n)%� SI <br /> ❑ Rescue Pole <br /> ❑ Life Ring <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 /> t*�WATEflP QUALITY, <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> ❑ supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Time In: , 7J� Rec In p cte b <br /> Effluent: Time Out:3 <br /> 1 <br /> EHD 36-015-6-12 SWIMMING POOLOIR Page oft <br />