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p,¢HI SAN JOAQUIN COUNTY <br />ENb.. ,ONMENTAL HEALTH DEPARTAT <br />n� < <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />FO+ <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: t- G A d M G r 16 ci` Date: - O -/ y <br />Address: o, O j L. CrIA J [ ;Ad City: TrG C Zip Code: ;7 -_ <br />Owner/Operator: )Z c b, 4 D r , )( a Telephone: 06- 536.! <br />Program Element: 3 G /1 Program Record: 3 6 G.3 yG Inspection Type: Xlca'tY ne <br />Flow Rate (gpm): <br />pH: <br />[ChIodne,(ppm): <br />CC -6.() <br />Cyanuric Acid (ppm): <br />SU <br />Temp: <br />Reinspection on or after: <br />lt)ee)eshis0 <br />Li <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetCode Violations and must be corrected as indicated: <br />Evr Filters <br />S A C K: n r , n <br />Pumps <br />2LO 0 Q Il S S P h i C a a r2 r <br />Chlorinator <br />[y Flowmeter <br />G e- i ns arc J; ren W; 11 OC, <br />Gauges <br />/ <br />ra V, de' Po c:1;1 y arrSs On <br />Skimmer & Gutters <br />Back Flow Prevention <br />S G nd to r✓1 b e r <br />Main Drain Cover <br />s e C 1i u r% a S ; b r c r A u r i <br />r r % i rl wee l <br />Equalizer Line Cover <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 />ET Safety Signs <br />❑ Lifeguard <br />Pool/Deck Lighting <br />Ladders/Hand Rails <br />Depth Markers/Tiles <br />[31/_ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS ',( <br />❑ Showers <br />Toilet & Dressing <br />_❑ <br />❑ Ventilation <br />W A T E R. QUAD` <br />©' Chlorine <br />Ea' pH <br />Q' Cyanuric Acid <br />Clarity <br />E41- Test Kits <br />MISCELLANEOUS <br />EF Supervision & Control <br />General Sanitation <br />Algae <br />Influent: ) (/ <br />v^ <br />Effluent: 1 (J <br />Timeln: <br />R/e�cei ved By- <br />[� /La1rs-� <br />JAL/' <br />Inspected by: <br />'�yZ.�. ��j��- <br />TimeOut; /6.7y <br />EHD 36-015-8-12 SWIMMING POOL OIR Page : of I <br />