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Pa lr. SAN JOAQUIN COUNTY <br />EN -10NMENTAL HEALTH DEPART. NT <br />1868 Last Hazelton Avenue, Stockton, CA 95205-6232 <br />Fa Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: If iL�- <br />Q LoDate: L f– 2 ( — <br />Address: 29 a. <br />- 2 City: '5 VelZip Code: Cf <br />Owner/Operator: <br />2 �^ Telephone: <br />Program Element: Program Record: CO (DO 3Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanudc 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 />❑ <br />Filters <br />��� ss - L Ve✓ iNIv1 <br />❑ <br />Pumps <br />q Sever'oL dLACJ<S 51. IMI"I '>,VXCA <br />❑ Chlorinator <br />❑ <br />Flowmeter <br />1 <br />❑ <br />Gauges <br />❑ Skimmer & Gutters <br />❑ <br />Back Flow Prevention <br />`' <br />/S G Mqn <br />❑ <br />Main Drain Cover <br />DkA, <br />❑ Equalizer Line Coverae� <br />❑ <br />_, NSTRUCTION <br />Pool Shell <br />IN I S <br />❑ <br />Fencing/Gates <br />❑ <br />Decking & Coping <br />LL <br />t . dkCF WGl !_ <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Rescue Pole <br />Life Ring _ _ _ <br />Safety Signs <br />Lifeguard <br />Pool/Deck Lighting <br />–i��a Q ✓ \ `f /qn r�A- — e .@rnI;i. 'rj' <br />-f0 40A L'/Yl Q " I . <br />TW J c* -S C.,L4er-o 4 -ft� cx�f <br />❑ <br />Ladders/Hand Rails <br />0.i( o ` T <br />❑ <br />Depth Markers/files <br />da CaT CZ S d <br />❑ First Aid Kits <br />❑ <br />Emergency Shut-off Switch <br />dr Pt 5 4 dLQo, KLQ <br />RESTROOMS <br />�_ 4r,—es 'f0 S <br />❑ Showers _ <br />❑ <br />Toilet & Dressing <br />ukgk^ cc,,^ u 40 i�4C <br />❑ <br />Ventilation <br />❑ <br />❑ <br />WATER QUALITY <br />Chlorine <br />pH <br />Q V2 f f" TTJ e�t 4 dl.(G1� <br />❑ <br />Cyanuric Acid <br />ClC S tdkdQ��b 4KC� T �7 <br />❑ <br />Clarity <br />JJ <br />cL ld <br />' <br />❑ Test Kits <br />- <br />- MISCELLANEOUSa\ <br />,�., (� S <br />Supervision & Control <br />s O� VCtL Ctls'� <br />_❑ <br />❑ General Sanitation <br />❑ <br />Algae <br />Influent: <br />Effluent: <br />Time In: rs- <br />Re v By: <br />Inspected bye <br />Time Out: Z: 3S <br />) 36-015-8-12 SWIMMING POOL OR ` Page — of <br />IS <br />