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oRay.u. SAN JOAQUIN COUNTY <br />x•f.a <br />EN\ DNMENTAL HEALTH DEPARTN T <br />w.� <br />— 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />o a' Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: L ou S r (,\ LAA- F &rA Date: <br />Address: ity: Zip Code: <br />Owner/Operator: VILLATelephone: u ^{.C�'(,l! I -P <br />Program Element: �( Program Reco : 0 -bUDInspection Type: _ <br />Flow Rate (gpm): <br />' O <br />pH: <br />– <br />ChIf Clorine (ppm): <br />O 0 CC, <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspection on or after: <br />Other: <br />p <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />1 �'(J��� C .,_ _ . Q - t /V / ✓� la Cie / ✓I /+_� <br />Td <br />❑ Pumps <br />S V, t Y-0 "!A <br />❑ Chlorinator <br />❑ Flowmeter <br />h S41YnnV✓ 4- <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markerslriles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS ! <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER .OUALITV'.- <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />❑ Supervision & Control <br />❑ General Sanitation <br />E) Algae <br />cL, G 1� 1 <br />IN Cl i%'� T ja kNl o kLW Vt.,- <br />1 fie <br />Influent: <br />Effluent: <br />a t ( ..H wt f - <br />Time In:' <br />Rece• d By:J)V <br />•'� <br />inspecct�ed by: <br />1, f—dgkt4INGL <br />Time Out: .43 <br />EHD 36-015-8-12 SWIMMING POOL OR U Page — of <br />