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P.uln. SAN aJOAQUIN COUNTY <br />' E RONMENTAL HEALTH DEPART NT <br />1868 East Hazelton Avenue, Stockton, CA 952u6-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sigov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />n 61 a L't ryl <br />Date: <br />Address: 7-1 <br />Aloima <br />City: I• C) CL <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />- <br />Program Element: 3 <br />Program Record: <br />a 3 a Inspection Type: <br />140 Lff <br />Flow Rate (gpm): <br />uY14 <br />pH: <br />� .O <br />Chlorine (ppm): <br />rc : 1'• o <br />CC: o. <br />Cyanuric Acid (ppm): <br />� q � PPM <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 />/ <br />O <br />l> <br />I ✓) <br />_ <br />Pumps <br />.❑ hlorinator <br />Flowmeter <br />ac A 1 <br />Z ! v/KkM/y <br />r. r <br />Gauges <br />t/ <br />kimmer & Gutters <br />Back Flow Prevention <br />3 d <br />r S 5 <br />CA <br />Main Drain CoverV <br />?0 -S ) <br />9- Equalizer Line Cover ZAOs <br />of Shell <br />Fencing/Gates <br />r0 t <br />Cy! r <br />Decking & Coping <br />I' <br />W <br />r <br />rl <br />❑ Wade Pool -2 Main Drains <br />SAFETYEQUIPMENT <br />Rescue Pole <br />Life Ring <br />1 <br />Safety Signs <br />❑ Lifeguard <br />ooVDeck Lighting <br />adders/Hand Rails <br />Depth Markers/Tiles <br />First Aid Kits ' h <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />Ln Chlorine <br />pH <br />Cyanuric Acid <br />Clarity <br />j� Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />, <br />(1 <br />❑ General Sanitation <br />❑ Algae <br />Influent: 3o (SSD <br />4V <br />Effluent: f O �S ! <br />Time In: I I S <br />Time Out: / <br />Received By: <br />In <br />eet by: <br />EHD 36-015-6-12 SWIMMING POOL OR L / / `� V V vPage_of_J <br />-20,06 V <br />