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av1n. SAN JOAQUIN COUNTY <br />ENVmONMENTAL HEALTH DEPARTM T <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: b -o Date: Le q - !K <br />Address: <br />k4.,I- ( u ld City: Zip Code: <br />Owner/Operator: C(jL�Y Telephone: <br />Program Element: Program Record: Inspection Type: t7� GF�L <br />Flow Rate (gpm): <br />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 Health & SafetCode Violations and must be corrected as indicated: <br />❑ Filters <br />❑ PumpsAGt.lil"' <br />✓" j, -7h qj-W1j(j4 <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />C <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 />�11 <br />vlvke/` 1,44ACjM 19ald, JAILA,1-AlI <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signsfn <br />r <br />vC/� <br />❑ Lifeguard <br />�.II '� <br />— �% 4 00 OUZ— OVA <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />�nnYG <br />❑ Depth Markers/Tiles <br />Y I,�Y d'k Ck- <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />U(/"� •�N <br />RE:STROOMS ,. <br />VV\tA ✓ 'f py V0 'W ku! <br />❑ Showers <br />❑ Toilet & Dressing <br />- G�0 ma✓j!! <br />❑ Ventilation <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />_ rv�aNQ awLxd- yt„ (- <br />❑ Clarity <br />❑ Test Kits <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: I <br />Rece v d y: <br />It <br />� <br />Inspected by: <br />c' AA4-1— J <br />p `_ - � <br />Time Out � •, <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page <br />