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Q�4Tid.. SAN JOAQUIN COUNTY J . <br />` 1 ENVi, �JNMENTAL HEALTH DEPARTML i �L <br />ar� 1868 East Hazelton Avenue, Stockton, CA 95205 6232 <br />%C... <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web;-www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPE ION REPORT <br />Name of Facility: - <br />7® <br />Date: <br />Address: O <br />City: <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: f,7Program Record: <br />Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />�?l,o <br />��rine jpp� ): <br />L!©l' <br />Cyanuric Acid (ppm): <br />90 <br />Temp: <br />Rrspeection on ora e <br />1�C�6� 9 Oct <br />other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safet <br />Code Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />2- <br />❑ Chlorinator <br />E] Flowmeter <br />// <br />!l <br />S <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />O ` <br />-CX <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />11 CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT - <br />Rescue Pole <br />_❑ <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ PoollDeck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />---RESTROOMS. - <br />- <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine _ <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />NO <br />CS /o -C <br />1 <br />' `MISCELLANEOUS <br />❑ Supervision & Control <br />i, <br />❑ General Sanitation <br />❑ Algae <br />S'na <br />Kb h t <br />Influent: <br />Effluent: LA- <br />Time In: <br />Rece.'ved y: <br />Inspected by: <br />Time Out: <br />EHD 36-01 5-6-12 SWIMMING POOL OIR '\\—) V I v U --� <br />Page _ of <br />