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yavin. SAN JOAQUIN COUNTY <br /> & IONMENTAL HEALTH DEPART' AT A"P + <br /> .� ll <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> oar Telephone:(209) 468-3420 Fax:(209)468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Lat. 5 / Date: -'—) Lj <br /> {. <br /> Address: c3 I City: -o Zip Code: 15;2L <br /> Owner/Operator: 1-4D rO Rg r Telephone: _6&19_566q <br /> Program Element: Z(oI I Program Record: P R O 3 O Inspection Type: fes- j PLR <br /> rl <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> 50 Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter / V 00 <br /> ❑ Gauges <br /> ❑ Skimmer&GuttersI" <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover ��� wd y <br /> CONSTRUCTION' <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates - 7,, I <br /> ❑ Decking& Coping 0 00 �Q�T� �' J I I �j t f YL4 -Q <br /> ❑ Wade Pool-2 Main Drains Lef <br /> SAFETY EQUIPMENT O hd U 6e Yq 12 1Q :54,e ye Y <br /> ❑ Rescue Pole I/ <br /> ❑ Life Ring Y)-e. 11 <br /> ❑ Safety Signs y <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 - - i JJ __ '' A <br /> L] Showers ` )1L4 y V 1 O LOCH df>' -S L`IJ'�+k;7 <br /> ❑ Toilet& Dressing <br /> E] Ventilation '-�-�- rl'� 2'f-f <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: <br /> Time In: Received By: Inspected <br /> ylby: ,..b/ <br /> Effluent: Time Out J ''" �" <br /> EHD 36-015-8-12 SWIMMING POOL OR Page of <br />