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SAN aJOAQUIN COUNTY <br /> w y. <br /> EN AONMENTAL HEALTH DEPART, NT <br /> �Ib 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sigov.org/ehd <br /> SWIMMI G POOL OFFICIAL IN PECTION REPORT CkAL/ecy <br /> Name of Facility: V/e e Date: — Z <br /> Address: �6 ✓t°, city: G Zip Code: . <br /> Owner/Operator: Telephone: - 319-7 <br /> Program Element: j Program Record: t5 360 GC S 07 Inspection Type: <br /> Flow Rate(gpm): pH: I ChlorLnne(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> C-t>6J S#u7-3 <br /> ther: <br /> G , te <br /> .RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters Q«-7 <br /> ❑ Pumps r I1 <br /> ❑ Chlorinator C ( 1@k)e,( ivy if� L tS c� <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters a,-q_ Q,/e <br /> ❑ Back Flow Prevention fi <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover _ L <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates t M +ka. 4.a�Le cXt <br /> ❑ Decking&Coping + <br /> ❑ Wade Pool-2 Main Drains a d¢ <br /> r <br /> SAFETY EQUIPMENT r cfllaf lvV-- (2rJeV /� � d1/� <br /> ❑ Rescue Pole / <br /> ❑ Life Ring _ ICX3, 1 YX't� �- ras QUO <br /> ❑ Safety Signs tt f , lCr q-ar. � <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting t S /C3 . C,-) C C it C_k 1,3 <br /> ❑ Ladders/Hand Rails r�, <br /> [:] Depth MarkerslTiles T" t 'Z "e`er tSL-V-kt n <br /> ❑ First Aid Kits ke e- as r re �- <br /> ❑ Emergency Shut-off Switch .r/ <br /> RESTROOMS r (,'rL-A- <br /> [:1 <br /> - <br /> ❑ Showers c��`• <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation Cole <br /> �� ^ <br /> WATER QUALITY 1 S �vt� - /�-C••E-�t l' or <br /> ❑ Chlorine <br /> ❑ pH ff <br /> ❑ Cyanuric Acid _ Ck to� "r- W Gl S / b S <br /> ❑ Clarity <br /> El Test Kits c44 ti A • (..t Q Z . <br /> MISCELLANEOUS ! c ' O <br /> ❑ Supervision&Control O <br /> ❑ General Sanitation <br /> ❑ Algae <br /> PSI l� <br /> Influent: N Q <br /> 1 G7 Time In: 10.--v d B Inspected by: <br /> Effluent: 1 Z Time Out: <br /> EHD 36-015-a-12 SWIMMI I G POOL OR Page—of <br />