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SAN JOAQUIN COUNTY <br /> ENVIKONMENTAL HEALTH DEPARTMEI4T <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: yhuon, E:S Date: 19-5-- / <br /> Address: r. City: � Zip Code: <br /> Owner/Operator: (CAA, _ 9 Telephone: Ftrn 3- 174 <br /> Program Element: 3 Program Record: Inspection Type: '\c L' Ch,g <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> S ��6 YC� OC 1 O0 Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&SafetCode Violations and must be corrected as indicated: <br /> ❑ Filters <br /> El Pumps 4c t �LJe i S t <br /> ❑ Chlorinator �e Q+nI,w, — r ✓t h'1 . <br /> ❑ Flowmeter 2 <br /> ❑ Gauges L <br /> ❑ Skimmer&Gutters SQ� v�sL <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ElEqualizer Line Cover S a QQT 1 �,4 �b 5 <br /> ❑ Pool Shell e lonml ' C' <br /> ❑ Fencing/Gates ' �- �d�(L(� �j <br /> El Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT.. ' )6L, w <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck 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 /> <�M1SCELLANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae POS t J S <br /> Influent: fs <br /> Time In: Rec i ed- Inspected by: - <br /> Effluent: a/ 3 Time Out: I I ` <br /> EHD 38-01 5-8-12 SWIMMING POOL OR Page of <br />