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aNla,• SAN JOAQUIN COUNTY <br />Fe <br />s Eh. .RONMENTAL HEALTH DEPAR1n,_NT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Gi r K Date: <br />Address: ) 3 a•, e r city: - Zip Code: 5 3 2 IS <br />Owner/Operator: R �A, _-1-10 Telephone: 93 0 <br />Program Element: Program Record: R 03 0010 - Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />0 'o C.C. <br />I Cyanuric Acid (ppm): <br />So <br />Temp: <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 />Filters <br />t l tlor' rte, <br />[� Pumps <br />Chlorinator <br />❑ Flowmeter?� <br />-Lk.,F_ %i U o U, �r Q 1f <br />El <br />n <br />fr�j}M2 r ¢.n f fr r ��i r r p i 7 C_o A nci <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />yf of <br />F <br />❑ Main Drain Cover <br />f.y/ f.rw Y c - U 0.Q V roff'f dk <br />❑ Equalizer Line Cover <br />-, CONSTRUCTION <br />b 2 W -et <br />❑ Pool Shell <br />yyA- LS YLo - 'Di?P <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />JJ ' <br />%1 YR. C•O n n2 r <br />❑ Wade Pool - 2 Main Drains <br />• CA <br />SAFETY EQUIPMENT_yi <br />❑ Rescue Pole <br />r'roe>m �Ia0Ljd Q)r ch Gin <br />❑ Life Ring <br />❑ Safety Signs <br />rt A-0- <br />❑ Lifeguard <br />W1 Sep.2 r0L4-4C_ a <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />U rVL12 no k b n d.P- d '71:2>0 n d t Jc <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />LAjI re- S <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />El Supervision Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />p <br />Influent: p <br />IPl <br />Effluent: VV <br />dq <br />Time <br />Rec v d B <br />sp ed by <br />Out: <br />Time Out: <br />a=�o <br />EHD 36-01 5-8-12 SWIMMING POOL OR crdpbeC4 Page J_ of <br />