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e,. Hlry. SAN JOAQUIN COUNTY <br />2 EN' 'ONMENTAL HEALTH DEPARTP JT <br />»� t <br />1868 East Hazelton Avenue, Stockton, CA 9521,E-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:jej ingDate: _ <br />Address: City: Lo Zip Code: <br />Owner/Operator: S O F Telephone: <br />Program Element: /0 Program Record: Ly Inspection Type: %2 p� <br />Flow Rate (gpm): <br />pH: <br />7'� <br />Chlorine (ppm): <br />S.z�C�dC-L <br />Cyanuric Acid (ppm): <br />S o <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />( L �k t 4r� `Jle— c--klo-(r..n, <br />❑ Pumps <br />le e qt ti q Isi5a Lcacn, ii <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ MaIp Drain Cover <br />ir <br />❑ Equalizer Line Cover <br />_ CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT:"°' <br />❑ 'Rescue Pole <br />❑ Life Ring <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 />- RESTROOM9- <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine_ <br />❑ pH <br />_ <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />_"— :"MISCELLANEOUS <br />❑ Supervision & Control <br />1 <br />C) hR f`e <lcr2G St itiste L, circ <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: S <br />Time In: %v,/�� <br />Re ed By: <br />Inspected by: <br />�1 <br />Time Out: <br />EHD 36-015-8-12 SWIMMING POOL OIR Page — of <br />