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P.�In SAN JOAQUIN COUNTY <br /> r• `-`�` &1 tONMENTAL HEALTH DEPARTI. _NT <br /> • 1868 East Hazelton Avenue, Stockton, CA 95205-6232 !-t_ <br /> ;..o•r" Telephone: (209) 468-3420 Fax:(209)468-3877 Web:www.sjgov.org/ebd SCJu I I I <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT 5FrA <br /> Name of Facility: a W CYQ Meadow Date: I rd ) 4- <br /> Address: <br /> Address: '�L �Q S Ixon \N- City: Zip Code: 52- Z <br /> Owner/Operator: S Uf•Q Gn CW S Telephone: q)6 _2\�j -CO-3� <br /> Program Element: I,Z Program Record: Ka � Cp I Inspection Type: -tj <br /> Flow�Riattee,(gpm): pH: Chic <br /> lTriGne(p m ::� Cyanuric Acid(ppm): Temp: l0 Q � Reinspection on or after: <br /> _/� .Z lU• 7I od Other: <br /> RECIRCULATION. EQUIPMENTit The marked violations represent Health n& Safety^Code Violations and must be corrected as indicated: <br /> Q Filters , �1�� l./t 1'�� 1 Wi �yriV 1 1 S � �U• `t \ - <br /> Pumps t <br /> Chlorinator LA � 1- � � IU <br /> Flowmeter <br /> ❑ Gauges n� <br /> Skimmer&Gutters <br /> 2( Back Flow Prevention <br /> Main Drain Cover rx� Sd S SS v`C <br /> Of Equalizer Line Cover nn <br /> Pool Shell QT }`� <br /> Fencing/Gates <br /> I� Decking&Coping <br /> Wade Pool—2 Main Drains <br /> Rescue P.I. <br /> [a/ Life Ring <br /> Safety Signs <br /> ❑ Lifeguard <br /> 2Pool/Deck Lighting <br /> Ladders/Hand Rails <br /> Depth Markers/riles <br /> First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS. <br /> Showers <br /> Toilet& Dressing <br /> Ventilation <br /> WATEA'ouALITY <br /> Chlorine <br /> pH <br /> [] Cyanuric Acid <br /> ❑' Clarity <br /> EV Test Kits <br /> Supervision&Control <br /> General Sanitation <br /> Algae <br /> Influent: <br /> Time In: .II ;Q� Received B 1 cted <br /> �t J <br /> Effluent: / Timeout: 1` ;c1 fj <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page of <br />