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P.glry.. SAN JOAQUIN COUNTY <br />1 EP 90NMENTAL HEALTH DEPART 'NT <br />a�< <br />1868 mast Hazelton Avenue, Stockton, CA 95Lv5-6232 <br />�oR ' Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility:r gAeQ /i1„ FT Date: 31101(4 <br />Address: Y71 AlAwa LL -e— City: Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: Program Record: Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: vReinspeckion <br />on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />d�" <br />dry _ 0 S px nil <br />❑ Chlorinator <br />❑ Flowmeters <br />❑ Gauges <br />14— COWAd- <br />E]Skimmer & Gutters <br />0 Back Flow Prevention <br />V H# - <br />E] Main Drain Cover <br />' <br />❑ Equalizer Line Cover <br />"CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT - <br />❑ Rescue Pole <br />— G� L, <br />_ <br />❑ Life Ring <br />❑ Safety Signs <br />2 <br />lkl{/G <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />!a� <br />�w <br />❑ Depth Markers/Tiles <br />aV U <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />_. RESTROOMS <br />?�� <br />zy/(2 ` <br />L] Showers <br />❑ Toilet & Dressing <br />J, _ . <br />�LU� <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine _ <br />L] pH <br />❑ Cyanuric Acid _ <br />�J_ _ _ R -.g <br />.L <br />t WAX ZRIlu at opt � -'w4 tD r <br />❑ Clarity <br />iiQYkd Sn `p t <br />"fly <br />❑ Test Kits <br />MISCELLANEOUS <br />V4'VX- AMS JI <br />v <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />nn <br />Time In: <br />RecC"s: <br />spa by: <br />r <br />Y n X033 <br />Time Out. C; <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page '1�11 A- <br />