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P.glrc. SAN JOAQUIN COUNTY <br />r Er -10NMENTAL HEALTH DEPART` -NT <br />!' 1868 Last Hazelton Avenue, Stockton, CA 9520-6232 <br />€a= ' Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sigov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: UR (-,- p UkS �,,l PLa Date: IIII 23 ,S - <br />Address: Cloo IN City: Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: Program Record: Inspection Type: V,v ,k <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspection on orafter: <br />Other. <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters« <br />o" r vt .� . fn c<o B' 7e <br />ElPumps <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />�- eJ <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />( t,- <br />(Ovj rv-h -N <br />❑ Wade Pool -2 Main DrainsS <br />SAFETY _EQUIPMENT <br />❑ _ Rescue Pole <br />❑ Life Ring <br />S <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />0-a n <br />�..tv� 0. <br />❑ Depth Markers[1-iles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />OK \.�1„SAI ,< <br />E] Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />- MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: <br />Recei <br />Ins cted by: <br />Time Out: <br />EHD 36-015-8-12 SWIMMING POOL OR \I— Page _of <br />