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NI SAN JOAQUIN COUNTY <br />��""• ., ENVIRONMENTAL HEALTH DEPARTMENT <br />t 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />• ..: Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sigov.org/ehd <br />FO <br />cyngInnnnlmr.. pnnt nFFICIAL INSPECTION REPORT <br />Name of Facility: Date: /� w <br />Address: City:V Zip Code: rJ <br />Telephone: X,33 — d L <br />Owner/Operator: <br />�" Ins T ems- -.. "._. ,.. .. <br />ection <br />Program Element: �.[� ( Program Record: - - S P YP <br />Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp: Rei pection on or after. <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetyCode Violations and must he corrected as indicated: <br />❑ Filters <br />T3761 pzd a <br />El <br />❑ Chlorinator <br />❑ Flowmeter11 <br />m5liti I'% I <br />1 LL- <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />V <br />❑ Equalizer Line Cover <br />'CONSTRUCTION <br />CQZQ_ <br />C <br />❑ Pool Shell <br />,t_ <br />J <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />LG <br />-`. SAFETY EQUIPMENT', <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs( <br />jJLeLw1i 6tJ e <br />❑ Lifeguard <br />GT(/' OAP v eY <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />J� <br />❑ Depth Markers/Tiles <br />/ J <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />Q W DP%L <br />❑ Showers% <br />❑ Toilet & Dressing <br />p <br />14,41 Z4 <br />❑ 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 />nspe''cl1 lIe11d hy: <br />Y iEf�uent: <br />Eme <br />t: �t <br />El 36-015-8-12 SWIMMING POOL OIR v\_J \� Page _Lof_j <br />