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SAN JOAQUIN COUNTY <br /> w EN' tQNAAENTAL HEALTH DEPARTI, .AT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468,3420 F ir:(209).468-3877 Web:www.sjgov.org/ehd <br /> SWIMMIN OFFICIAL INSPECTION REPORT <br /> Name of Facility: V t- Date: j <br /> Address: 2�4City: L Zip Code: /• <br /> Owner/Operator:" a( Telephone: <br /> Program Element: 3 (If Program Record: Inspection Type: /1'z— <br /> Flow Rate(gpm): pH: Chlorin ( anuric Apid(ppm): Temp: Reinspection on or after: <br /> h°l/ TJ��ya S � J1ty <br /> —1 ;' VA f,}i� other: ea�( <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters `�- <br /> ❑ Pumps <br /> ❑ Chlorinator Q( <br /> ❑ Flowmeter <br /> ❑ Gauges t <br /> ❑ Skimmer&Gutters C Radil • <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates na Oyu <br /> ❑ Decking& Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT hd <br /> !^ /i <br /> L] Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs w�AA P1 <br /> ❑ Lifeguard N <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits — r tel <br /> ❑ Emergency Shut-off Switch _ N <br /> RES:TROOMS <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 /> Influent: ( ! i09 5 <br /> 111 ���(111 Time In: ,�,�� Receiv d By: In\�spectedd by: <br /> Effluent: Time Out: <br /> EHD 36-01 5-6-12 SWIMMING POOL OIR Page—of— <br />