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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMr-NT <br />• 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />p...a Telephone: (209) 468-3420 Fax: 209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: O F G G r d 9 V 1 r4 r• K Date: ,2 <br />Address: F U.1 ); City: UE n a l; Zip Code: % 3 S <br />Owner/Operator: L O: S <br />or d i 1 ho M of Telephone: _ 2 lJ <br />Program Element: 3 (o I Program Record: 3.... o 0 I o ' Inspection Type: go ,i, 4, m it <br />Flow Rate (gpm):Chlorine <br />'L j U —77Y <br />(ppm): <br />FC 0 6 CC -0,7 <br />Cyanuric Acid (ppm): <br />% <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 />/„ila e e0e j , <br />I } d;S cr. 4PG/ G <br />Pumps <br />01e fir tV7 6 j /+ C I,; Ci a <br />Chlorinator <br />® Flowmeterff <br />"� <br />s �a � in ;sCcnnec�eG{ <br />Gauges <br />j n 2 Wee <br />Skimmer & Gutters <br />Eg Back Flow Prevention <br />i 6i a 0 <br />Q/ Main Drain Cover <br />e' W e e^ 1. S - 10 r✓I. G J r n C <br />[tom Equalizer Line Cover <br />CONSTRUCTION <br />jg Pool Shell <br />[g 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 Markersmles <br />First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />- <br />❑ Ventilation <br />WATER QUALITY <br />Chlorine <br />PH <br />[� Cyanuric Acid <br />Clarity <br />[� Test Kits <br />`ISCELLANEOUS t'' <br />Supervision & Control <br />G neral Sanitation <br />Algae <br />Influent: 1 S <br />Effluent <br />Time In: f�� (� <br />R c ived By: — <br />ndaJA <br />Inspe to by: <br />Time Out: ,SU <br />EHD 36-015-8-12 SWIMMING POOL OR Page --If I <br />