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P.�In.. SAN JOAQUIN COUNTY <br />' EN` ONMENTAL HEALTH DEPARTR?---AT <br />- 1868 East Hazelton Avenue, Stockton, CA 9521... 0232 <br />Fa`H Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT Parr -e -e <br />Name of Facility: L lAks'gDate: %-3,0-0 <br />Address: , /4 Ok Ave—, City: it Zip Code: 95-2—q2— <br />Owner/Operator: LgkaS;14.0 "e_ v `llQ a 1#9 Telephone: 7L('7— Z$ <br />.,843q Inspection Type: CYje.FJ(af;%f-/' <br />Program Element: Program Record: 3C <br />Flow Rate (gpm): pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent & SafetyCode Violations and must be corrected as indicated: <br />❑ Filters <br />Health <br />(fOM 10-1 S' 1 i ; GC S S l ✓ei <br />❑ Pumps <br />44Ce S G( Kj- r% <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />Pool 6keZS "'� <br />ramP <br />— Rpo <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />_ <br />❑ Main Drain Cover <br />/ 1 <br />,• or. r K .r(j �'�, (n4►��. C^ dt4 <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />' / <br />SU ti Ot] av e T 2 <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />// � /� <br />-tom vacLkU kl- — do <br />❑ Safety Signs <br />a� <br />❑ Lifeguard <br />--e <br />0.� o !n / h +(,,a-1 C K C� n T4� IckkQ <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />�L <br />47 IG <br />E]Depth Marker6nExl <br />V GLC S4P% <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />:-R.ESTROOMS <br />p(i. <br />kS /'M 12,S 55t' <br />❑ Showers <br />❑ Toilet &Dressing <br />° <br />❑ Ventilation <br />..:WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />- <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: 2 ,°�— <br />R eived7B:inspected <br />by: <br />s 1 <br />Time Out: <br />Z: CD <br />EHD 36-01 5-6-12 SWIMMING POOL OIR Page <br />