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SAN JOAQUIN COUNTY <br />ENS,-JNMENTAL HEALTH DEPARTM_ -.T <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: 'LY- rn <br />Date:?Iqll <br />Address:'%—Lki City: <br />G <br />Zip Code: <br />Owner/Operator. V7'q1 S'�e-Ar-h <br />Telephone: <br />Program Element: Program Record: 6 <br />-71I'slection <br />Type: <br />Pi <br />Flow Rate (gpm): <br />pH: <br />Chlorine(ppm): <br />0 a <br />0 r U CG. <br />Cyanuric Acid (ppm): <br />yE✓ <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 />❑ Pumps <br />44 <br />/ <br />❑ Chlorinator <br />❑ Flowmeter <br />halo <br />❑ Gauges <br />V. <br />J <br />❑ Skimmer & GuttersC] <br />ElBack Flow Prevention <br />❑ Main Drain Cover <br />r <br />f,. <br />© <br />V.I I <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />_ <br />❑ Fencing/Gates <br />f <br />❑ Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />SAFETYEOUIPMENL <br />C, <br />YA t' <br />❑_Rescue Pole _ <br />❑ Life Ring <br />Ora <br />12 < <br />, <br />CLOW <br />❑ Safety Signs <br />(_ <br />` <br />t <br />` <br />D IIA) <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />- <br />f <br />n <br />RE:STROOMS": <br />62�C <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 />❑ Supervision & Control <br />r <br />Q !- <br />YJ r <br />/t <br />I ❑ General Sanitation.V <br />❑ Algae <br />Influent: <br />Effluent: <br />° <br />r <br />r <br />iJ <br />✓I(��� <br />Timeln: i <br />7eived <br />L <br />I n a p ek <br />ted by: <br />Time Out: <br />EHD 36-015-8-12 SWIMMING POOL OIR Page — of <br />^!A <br />