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Ps�ln.. SAN JOAQUIN COUNTY <br />EN' ONMENTAL HEALTH DEPARTA AT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />ik6 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd. <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Y r a Date: L !r/ <br />Address: /_lze✓ City: Zip Code: <br />Owner/Operator: L. `2 'T,C Telephone: q -I —% <br />Program Element: Program Record: (3 Inspection Type: /' -ItI _ <br />Flow Rate (gpm): <br />pH: <br />yO'Ll <br />Chy ( (pp ,,_ <br />irc- <br />cjnuric`A�d_ppm): <br />�Ue� /07� <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations andel must be corrected as indicated: <br />❑ Filters <br />/ l_ G%i'�(%✓� G QC�G'/ .i Q�Y �— !� /.� <br />_ <br />❑ Pumps <br />p�y <br />❑ Chlorinator <br />❑ Flowmeter <br />(/f rw I h rt <br />El Gauges <br />( yl <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />a F n -V_ ,- CA e f C(f r <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />�e ten/,. <br />/ 'Cliiliij ` <br />L1 Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <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 />:RE:STROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />'. WATER. QUALITY <br />❑ Chlorine <br />_ <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: 1 /� <br />Effluent: <br />Timeln: ��-��3 <br />Received By: Inspected by: <br />, �" S ,//—w/nl`z�_L <br />Time Out: <br />U - <br />EHD 36-015-8-12 SWIMMING POOL OIR Page_ of <br />