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ip <br />SAN JOAQUIN COUNTY <br />ENVimONMENTAL HEALTH DEPARTML,4T <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: ig'ka&A act- v r' I 4 ,— Date: <br />Address: ?5757b S ,•5 City Zip Code: <br />Owner/Operator: rL^ -';A%r- Q ' 1 OLSz= tf 0 A Telephone: 444 3-3*1-57AS <br />Program Element: X - Program Record: `Q p-?jg -- Inspection Type: <br />Flow Rate (gpm): <br />%S/ IL <br />pH: <br />1, Fj <br />Chlorine (ppm): <br />3,Q g <br />Cyanuric Acid (ppm): <br />-50 <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 />1 r <br />❑ Pumps <br />v;zlAI 2Qt Jer GLS vYt2 �.t �4 /<,. 4 f <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />2- G1�7 5 / r <br />❑ Skimmer&Gutters <br />❑ Back Flow Prevention <br />` <br />/GVld <br />❑ Main Drain Cover <br />t /�1 <br />ak itQ,,,,i 2.� �•�- ''/'; (�O AIR— <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/riles <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 />e�►�� F I+rr <br />I <br />Influent: )O <br />Effluent:Time <br />— <br />Time In: <br />Received By: <br />Inspected by: <br />F <br />Out: <br />EHD 36-015-6-12 SWIMMING POOL OIR 0 Page I of 1 <br />