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ip <br /> SAN JOAQUIN COUNTY <br /> EN)v,r<ONMENTAL HEALTH DEPARTMudT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: CA •viDate: O 7 7j5--/2__ <br /> Address: 1-4-1 o ( Jty City: (4k Zip Code: <br /> Owner/Operator: a, Telephone: <br /> Program Element: Program Record: V k 13&0 (p 7 - Inspection Type: - <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after. <br /> qo Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps _ <br /> ❑ Chlorinator �V <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <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 /> ❑ Life Ring <br /> ❑ Safety Signs W BTi�jl s _ Ate/ <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting L 'ft S �— <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits 0 C : C GL <br /> ❑ Emergency Shut-off Switch �� D <br /> RESTROOMS N� <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits mvU 7 ? <br /> 5N <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> PA- <br /> El Algae B M <br /> Influent: <br /> Time In: Lf S- M Rec ived y : Insp d by: <br /> Effluent: [ a Time Out 3; '�,IJ`Yrl F[.,/�[lct_-�r'/'Ti`J <br /> EHD 36-01 5-9-12 SWIMMING POOL OR Page_of <br />