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.vin. SAN JOAQUIN COUNTY <br /> EN ONMENTAL HEALTH DEPART? IT <br /> 1868 East Hazelton Avenue, Stockton, CA 9520o-6232 <br /> Fob Telephone:(209)468-3420 Fax:(209)468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: - \/J Date: `7- -to-1. 1p <br /> Address: 1/p,,;, kT\� City: Zip Code: q Is S31 In <br /> Owner/Operator: " A Vk'CA Telephone: 5-1 to — -, BOO <br /> Program Element: b1 I Program Record: Inspection Type: r--Q• <br /> Flow Rate(gpm): pH:� Chlori e pm): Cyan/uric Acid(ppm): Temp: Reinspection on or after: <br /> Ch/bo + ` ) d •Z 3� Other: <br /> c . c <br /> RECIRCULATION EQUIPMENT marked violations represent Health&SafetCode Violations and must be corrected as indicated: <br /> ❑ Fillers I7, 7 <br /> ❑ Pumps �� nn <br /> ❑ Chlorinator Q( p� ,S- ca " <br /> ❑ Flowmeter �� A f f A 7 5�c <br /> ❑ Gauges <br /> Skimmer&Gutters i'J(A w v <br /> Back Flow Prevention ` C <br /> E] Main Drain Cover �1�2 1- - <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION _ <br /> ❑ Pool Shell l ¢ � �2 <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains 3 C- <br /> SAFETY-EQUIPMENT ` 'T; t�i . rC-^lir <br /> E] Rescue Pole �'„G, <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> 56 Ladders/Hand Rails <br /> ❑ Depth Markerslriles 0. <br /> ❑ First Aid Kits V� S <br /> ❑ Emergency Shut-off Switch <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 /> MISCELLANEOUS <br /> ❑ Supervision & Control _ <br /> ❑ General Sanitation <br /> ❑ Algae <br /> E vJ <br /> Influent: L1 `Z <br /> �l Time In: cei �edi Tn2pected by: <br /> r /J �✓\ hAleS <br /> Effluent: Time 0ut: 2r'�'� <br /> 8- 3 <br /> EHD 36-015-8-12 SWIMMING POOL OIR Page of <br />