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SAN JOAQUIN COUNTY <br /> EN` )NMENTAL HEALTH DEPARTN T <br /> 1868 East Hazelton Avenue, Stockton, CA 9520b-6232 <br /> ;..0 Telephone:(209) 468-3420 Fax.(209) 468-3877 Web:www.sigov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: 01� V0 SA Date: <br /> Address: \L\ City: Zip Code: 5 3 <br /> Owner/Operator:?. Telephone: S-+b- 1 V <br /> Program Element: Program Record: -z'bokOLA Inspection Type: r-C�• <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or atter: <br /> bO :},b r- C \ b• Z Other: <br /> C . c O.� <br /> 00 <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator AA\ , <br /> � L Lp X <br /> ❑ Flowmeter � 5\aQ <br /> ❑ Gauges YMn <br /> 13 <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover mow) <br /> ❑ Equalizer Line CoverCIL <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping �^� �• � <br /> ❑ Wade Pool-2 Main Drains -'cam �2(L <br /> SAFETY EQUIPMENT - Z � <br /> ❑ Rescue Pole _ <br /> ❑ Life Ring �\ <br /> ❑ Safety Signs L c (� <br /> ❑ LifeguardII '' <br /> ❑ Pool/DeC Lightin :CI-Q-9— <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles 1 ' <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> ❑ Showers <br /> ❑ Toilet&Dressing _ <br /> ❑ Ventilation <br /> WATER QUALITY 5 <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> _❑_ Supervision& Control <br /> ❑ General Sanitation OL <br /> ❑ Algae S <br /> Influent: 3 / 2 \ <br /> 5_1 <br /> Time in: tZ' J� Race-rh a Qy: Inspected by: <br /> Effluent: (_ZV_QQ Time Out: 1 1O ��✓ `�. �r P� <br /> EHD 36-015-e-12 SWIMMING POOL OIR 0LQc Page_of_ <br />