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ip <br /> SAN JOAQUIN COUNTY <br /> EN' 'ONMENTAL HEALTH DEPARTP' -NT <br /> 1868 East Hazelton Avenue, Stockton, CA 952u. 6232 <br /> Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sigov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: e&kcA—e. e Ot..J S LA. Arte, Date: -ZS i3 <br /> Address: o City: L I` Zip Code: S-21(-Z <br /> Owner/Operator: r-NG. Gj,J +S Telephone: <br /> Program Element: � 1 3 1 Program Record: D 3 O 6 Inspection Type: <br /> Flow Rale(gpm): H. Chlorine(p m): yanudc Acid(ppm): Temp: Reinspection on or after: <br /> f 7 .s 7.O F . 2c <br /> Other: <br /> 7- t ,O cV cL 7 111- O <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters _ PD a / <br /> ❑ Pumps 1 <br /> ❑ Chlorinator , <br /> ❑ Flowmeter At ,ir 0c) 50 <br /> ❑ Gauges Ake <br /> ❑ Skimmer&Gutters Z T y„Q 6- Q ea H <br /> ❑ Back Flow Prevention ` e a <br /> ❑ Main Drain Cover GD <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION ` <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT <br /> _❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting Qt &;1414 /h S <br /> ❑ Ladders/Hand Rails ' j 5 <br /> ❑ Depth Markers/Tiles // <br /> El First � Q n First Aid Kits I-QVJ IQ I <br /> ❑ Emergency Shut-off Switch C! <br /> RELo w 2.STROOMS r'L le,r-(;%-<L 'q Ve h <br /> ❑ Showers — <br /> ❑ Toilet& Dressing _ <br /> ❑ Ventilation C c' <br /> WATER QUALITY <br /> ❑ Chlorine- <br /> ❑ PH t6 h� Qrd sir S 4r eS l <br /> ❑ Cyanuric Acid ,5 , �� h I,,,,)�y�G • �GP� <br /> ❑ Clarity I <br /> ❑ Test Kits <br /> ` 1 IMISCELLANEOUS-.` ` n V ilcp � <br /> ❑ Supervision&Control rr,^, <br /> ❑ General Sanitation 5n�1 Fid �S d <br /> ❑ Algae ` <br /> 51� � r Gc r 4j <br /> 3 <br /> Influent: Poo I nn <br /> 1Z Time In: ;'. Receiv: ed By: Inspected by: <br /> 3v ` <br /> Effluent: Time Out: 3; �[� Akdz <br /> EHD 36-015-8-12 SWIMMING POOL OR Page of <br />