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SAN JOAOUIN COUNTY % <br /> z' y ENVIRONMENTAL HEALTH DEPAR .NT <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: Date: el 16/A0 <br /> Address: C' '- City: Zip Code: <br /> Owner/Operator: tUQ&A !L � yV W A Telephone: <br /> Program Element: 31/11 Program Record: OS&" p Inspection Type: In,Q.. 1 0z <br /> Flow Rate <br /> [(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> l� L4 d-C/C q D Other: <br /> _ <br /> RECIRCULATION.::EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator y <br /> ❑ Flowmeter <br /> ❑ Gauges y <br /> ❑ Skimmer&Gutters ��Yt Q/( ✓t yt �Q / df <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION` <br /> ❑ Pool Shell dtuit <br /> ❑ Fencing/Gates ALVLC <br /> ❑ _ Decking&Coping _ <br /> ❑ Wade Pool-2 Main Drains- <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole (iW'VV <br /> ❑ Life Ring hVv <br /> ❑ Safety Signs <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 /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision& Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: � I (� <br /> ���777 Time Out: <br /> Timeut: 11 Received BIn pacted by: <br /> Effluent: <br /> J` y <br /> EHD 36-015-8-12 SWIMMING POOLOIR Pa of <br />