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ra�ln., SAN JOAQUIN COUNTY <br />` ENVI NNIENTAL HEALTH DEPARTME <br />µ� < <br />-- i• 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:HAt,,VM Date: 2 / <br />Address: MA4xyxU A�,t city: Zip Code: <br />Owner/Operator: yl Telephone: C f , d <br />Program Element: (Q Program Record: 0/3(/03 Inspection Type: <br />Flow Rate (gpm): <br />1 ti <br />pH: <br />.� --� a <br />Chlorine (ppp:G <br />�Q �. <br />oaIt <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspection <br />ro�._'Dr a er:_ - <br />1_ <br />Other <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Healtety Code Violations and must be corrected as in <br />❑ Filters <br />t f Q _ aLL <br />L'Iut4 0141 <br />❑ Pumps <br />( yt <br />❑ Chlorinator <br />❑ Flowmeter <br />� <br />❑ Gauges <br />`/^ ''` <br />lac /d.0 �/f, <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />m <br />❑ Main Drain Cover <br />U qM <br />❑ Equalizer Line Cover <br />CONSTRUCTIONS <br />L]Pool Shell✓t <br />❑ Fencing/Gates <br />l <br />❑ Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />-'"SAFETY EQUIPMENT <br />I <br />❑ Rescue Pole _ <br />❑ Life Ring <br />❑ Safety Signs <br />�r <br />l/i C �iLl�l <br />❑ Lifeguard <br />❑ PooUDeck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <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 />.� <br />❑ General Sanitation <br />❑ Algae <br />n <br />Influent: I N <br />f _I <br />Effluent: ` <br />In: <br />e I d By: Ins Qected by: <br />ji <br />[Time <br />e Out: <br />i <br />EHD 36-015-8-12 SWIMMING POOL OR Page — of <br />