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ar.411n SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />N: < <br />?: 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />a ....: Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />Si 117 <br />2011- Q)00-S164c <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: `�^E'� ((� — Date: —(— 2— <br />Address: J.rY�\' City: L.Oc�n Zip Code: o1 SZ.�{ d <br />Owner/Operator: �7 a� „ Z 03LL, Telephone: <br />Ins <br />Program Element: '31;01\ 2 Inspection " Program Record: _ Jrp. y P Type: <br />Flow Rate (gpm): pH: <br />100 Z <br />IReinspection <br />IShlorine (ppm): <br />.c . ii. to <br />c.0 0,0 <br />Cyanuric Acid (ppm): <br />> t �Oppm <br />Temp: <br />on or after: <br />Other.-- <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filterst <br />—r ' <br />❑ PUMPS <br />`_ <br />( `— o)ke 1 c JA� <br />E] Chlorinator <br />❑ Flowmeter <br />C f Z <br />❑ Gauges <br />� <br />V Q <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />- CONSTRUCTION <br />CT <br />❑ Pool Shell <br />�� 5 <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 MarkersTriles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />❑ Showers <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 />1 <br />Influent: <br />Effluent: <br />Time in: (', 'SS <br />Received By: <br />Inspected Kc., <br />P1 I \A / 2 z- <br />Time Out: 'z','�� <br />EHD 36-015-8-12 SWIMMING POOL OIR "bg-0330 Page I of <br />