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SAN JOAQUIN COUNTY <br /> EI _ RONMENTAL HEALTH DEPARI ._ANT <br /> ?• 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> o p Telephone: (209)468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: D2kl fi ,1e,,jL4.e— Date: 7 - <br /> Address: City: S Zip Code: 95Z0 <br /> Owner/Operator: Telephone: et 9 3"319 Z <br /> Program Element: 'Z Program Record: d Inspection Type: <br /> FI9tRa�tte(gpm): pH: .7 Chlorine(p m): Cya uric cid(ppm): Temp: y��j,. Reinspection on or after: <br /> ool 2� <br /> ther: <br /> REC"$RCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters J1 <br /> ❑ Pumps <br /> ❑ Chlorinator �� y c(S ✓1 S le <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters I �� C Cc�u�fL c4-Gl�l f/Q/ <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover rn • a f; 5c3"�Q L-ic0. o`� <br /> ❑ Equalizer Line Cover (�� (( W r AGI etre kXZ+q0-4' 1-0 rC-cLLt <br /> ❑ Pool Shell L( <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ElWade Pool-2 Main Drains L^JAC«n C-c4i /hri I 1 <br /> t� <br /> SAFETY EQUIPMENT Kc, J <br /> El Rescue Pole -. _ <br /> ❑ Life Ring O l Cl kt VIv C eo7 rU <br /> r 1 <br /> ❑ Safety Signs b� "FS C.�✓/ <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> 'RESTROOMS - <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> WATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyan uric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> m IfS FJ CA <br /> Influent: I <br /> _I Time In: 10 " ' eived B///yyy i Inspected by: <br /> Effluent: ( 3 Time Out: <br /> EHE 36-015-8-12 SWIMMING POOLOIR Page_of <br />