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SAN JOAQUIN COUNTY <br />x�. <br />EN'v., ,ONMENTAL HEALTH DEPARTM�.4T <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />F6. -a Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: L G n d c4 t }\ j c, ( Q Date: � — /s - <br />Address: ') �. G r (in'I' g'; n City: —y Zip Code: X153 y-+, <br />Owner/Operator. Kcjbf, ,R. r :a jL! , Telephone:j•6- 534 <br />Program Element: 3l, I I Program Record: G 0 3 ,Ylo Inspection Type: <br />Flow Rate (gpm): <br />1, < <br />pH: <br />Chlorine (ppm): <br />9. q LC - 04 <br />Cyanuric Acid (ppm): <br />til UU <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />Filters <br />0c'1 �'V:J(, befulePn Ce'M / 5/465 /GCK.h <br />_ <br />[} Pumps <br />q1 p, lAr )t'¢ r, f2e /a( ; h 2 I�rP ICS - <br />Chlorinator <br />[Q, Flowmeter <br />3 C S lex n SD brn; I i u.r <br />Gauges <br />i t) -� �v U•% e e ICS 0 n I rdp CIA (♦ ®• <br />Skimmer & Gutters <br />Back Flow Prevention <br />ave- 4 r r h e A S• iU <br />rc n <br />Main Drain Cover <br />q 0i (', CC r re -N <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />4 <br />4 n �' <br />fe r' 6k.4 W' <br />11� Pool Shell <br />Fencing/Gates <br />re a h W. h } <br />Decking & Coping <br />f 1 <br />"' �'e0r, (Cirre C•f 'I cdu <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />D— Rescue Pole <br />— — <br />❑ Life Ring <br />EKY Safety Signs <br />Lifeguard <br />Pool/Deck Lighting <br />dders/Hand Rails <br />Depth Markerslriles <br />First Aid Kits <br />❑ Emergency Shut-off Switch <br />'SRESTROOMS <br />❑ Showers <br />_ <br />❑ Toilet & Dressing <br />— - <br />❑ Ventilation <br />- WATER QUALITY <br />Chlorine <br />E3/ H <br />Cyanuric Acid <br />Clarity <br />IV Test Kits <br />-.MISCELLANEOUS <br />Supervision & Control <br />_ <br />General Sanitation <br />Algae <br />Influent: 2 <br />JTime <br />Effluent: <br />In: ; <br />c ve y: <br />Inspe ted by: <br />&' i;�!/ <br />Time Out: / 1 •� C.fJ <br />EHD 36-015-8-12 SWIMMING POOL OIR V O Page_Lof <br />