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QY,„ SAN JOAQUIN COUNTY <br />ENVIkONMENTAL HEALTH DEPARTMEty I' <br />_� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />...:.- Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />P <br />etn,tuMmr. Pnnl nFFICIAL INSPECTION REPORT <br />a'` <br />Name of Facility: 2 Date: <br />Address: �4 �' - City: Zip Code: a 5 2AA <br />Owner/Operator: ( Telephone: <br />Program Element: Program Rector Inspection Type: <br />Flow ,Rate_ (gpm): <br />S�vGIL <br />pH: <br />7. _1 <br />Chlorine (ppm): <br />1 •C 3.LA <br />C.c o. <br />Cyanuric Acid (ppm): <br />G`0 m <br />f'P <br />Temp: n <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetCode Violations and must be corrected as indicated: <br />C� Filters <br />1 —j S S I <br />[x Pumps <br />\ <br />[� Chlorinator <br />0 Flowmeter c ic- <br />Z� \ { <br />[a Gauges <br />�,1e� \Q (\ ` 3 = Is) -V 5 <br />Skimmer & Gutters <br />Back Flow Prevention <br />\ <br />Main Drain Cover <br />❑' Equalizer Line Cover <br />CONSTRUCTION <br />1 \ <br />3 / F e <br />Q Pool Shell <br />Qsm�_J C - 1 <br />[� Fencing/Gates <br />Decking & Coping <br />❑ Wade Pool – 2 Main Drains <br />SAFETY EQUIPMENT <br />[� Rescue Pole <br />[� Life Ring <br />I� Safety Signs <br />[' Lifeguard <br />[� Pool/Deck Lighting <br />Ladders/Hand Rails <br />❑ Depth MarkersMies <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />❑ Showers t\ G <br />❑ Toilet & Dressing <br />❑ Ventilation <br />[� Chlorine <br />pH <br />[� Cyanuric Acid <br />Clarity <br />[ Test Kits <br />MISCELLANEOUS . <br />❑ Supervision &Control <br />❑ General Sanitation <br />❑ Algae <br />0evJ I G <br />Influent: ® <br />Effluent: <br />A� ; 1 -->c 2 2 <br />Time in: <br />Receive By: <br />TV <br />Inspected by: <br />\'\c�. r es <br />Time Out: <br />EHO 38-01 5-8-12 SWIMMING POOL OR Page — of <br />