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oPa n. SAN JOAQUIN COUNTY <br />V. <br />E ARONMENTAL HEALTH DEPAR ENT <br />Z: <br />Key` S <br />\'d"p 600 East Main Street, Stockton, CA 95202-3029 <br />Gt <br />Telephone: 209 468-3420 Fax: 209 464-0138 Web: www.s ov.or /ehd <br />P ( ) ( ) 19 8 <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: `( <br />- <br />r v <br />Date: <br />P' o41% <br />Address: S <br />City: <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element:. Program Record: 07 <br />Z'' <br />Inspection Type: awtWe- <br />Flow Rate (gpm): <br />pH: <br />` � <br />Ch fppmjn <br />�t 0 cc <br />Cyanuric Acid (ppm): <br />S v <br />Temp: <br />Rei spection 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 />❑ Chlorinator <br />�//U (,f A <br />f�L�%%lf GfLGh <br />rm /7/ <br />� (J`//G/ <br />[ <br />IIP (K G/'L�� �•/— /rlX <br />❑ Flowmeter <br />puk/ <br />K r <br />El Gauges GaugesICY <br />B <br />J <br />El Skimmer & Gutters <br />❑ Back Flow Prevention <br />khw <br />rrq <br />❑ Main Drain Cover <br />�,,/ <br />r( <br />I , <br />❑ Equalizer Line Cover <br />CO TIOAt; <br />- 14'InXo <br />U' <br />Pool Shellhell <br />El Pool <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />/ <br />❑ Wade Pool -2 Main Drains <br />-- SAFETY EQUIPMENT'„', <br />❑ Rescue Pole <br />/,,ter , <br />rr <br />❑ Life Ring-th <br />❑ Safety Signs <br />Wt <br />U , <br />❑ Lifeguard <br />- <br />rG o <br />Q/kt viqr-(QA <br />Pool/Deck Lighting <br />Ell <br />❑ Ladders/Hand Rails <br />❑ Depth MarkerslTiles <br />❑ First Aid Kits <br />❑ Bnorgency Shut-off Switch <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />--- <br />'"WATER QUAi TY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />- - <br />❑ Clarity <br />❑ Test Kits <br />:MISCELLANEOUS .. <br />❑ Supervision & Control <br />_ <br />❑ General Sanitation <br />❑ Algae <br />Influent: l <br />Effluent: h <br />Time In: `'��' <br />Time Out: <br />Received By: <br />11E <br />I pecte <br />by: <br />EHD 36-017-3"9 SWIMMING POOL OR Page — of <br />