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n SAN JOAQUIN COUNTY <br />' E IRONMENTAL HEALTH DEPAR ENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: d <br />DKIkILL evlaV4Date:oild-Pelt <br />Address:q4mu <br />City: <br />Zip Code: <br />Owner/Operator: <br />a &Lb <br />Telephone: 3b <br />Program Element: VProgram Record: 6 Q <br />Inspection Type: ~4C <br />Flow Rate (gpm): <br />pH: <br />Chlorine ( pm : <br />�', �V <br />Cyanuric Acid (ppm): <br />C <br />Temp: <br />then. <br />Reinspection on or after: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent�Health & SafetyCode <br />Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />t ( � C /� YAl kk� <br />d Qy) LZ <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <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 />- <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />— <br />MISCELLANEOUS <br />❑ Supervision it Control <br />}( ,✓ <br />N p a <br />` <br />u J <br />ym <br />✓ i <br />[I General Sanitation <br />❑ Algae <br />ip <br />Influent: 9 <br />Effluent 7 <br />Time In: % <br />Received /B.y:}.�;,y fry <br />' <br />In ected by: <br />.1 <br />Time Out:qH <br />EHD 36-017-31-09 SWIMMING POOL OR Page _of. J <br />