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Pa.1N. )AN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMEN <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />eo r Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: - cs-,, Date: <br />Address: d o— City:Zip Code: <br />Owner/Operator: /w4r Telephone:3 — 49 <br />Program Element: Program Record: 0 3 &d 3Q Inspection Type: P1—C <br />Flow Rate',(1ghpm): <br />V <br />pi y//� <br />/ O <br />Chlorine (ppm): <br />y •!`,2 CC! C' <br />Cyanuric Acid (ppm): <br />(ppm): <br />`3�/ <br />Temp: <br />Reinspection 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 />le-ki 4)1,f t <br />❑ Chlorinator <br />❑ Flowmeter <br />eh <br />❑ Gauges <br />a <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />pn <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />S,' <br />{2 <br />❑ Pool Shell <br />a f J 0`t).1— <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />pY <br />cl.l <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifegugrd <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />1RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ CyanudcAcid <br />❑ Clarity <br />❑ Test Kits <br />_ ,..MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />1n <br />Influent: a, W <br />Effluent:: I 5 <br />,jA1e \ 1 <br />NYK I ANA) L r 1 a LC <br />Time ln: ! <br />Rec 'v d B <br />Inspected by: ',,'s <br />�� /Y�- <br />Time Out: <br />EHD 36-01 5-8-12 SWIMMING POOL OR �p U Page <br />