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m. SAN JOAQUIN COUNTY <br />EN\ JNMENTAL HEALTH DEPARTN, T <br />i• 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />;Fo• Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: W r -e orC meadow(. .Uw Date: <br />Address p QjO S V (A n WkN City: Lcld i Zip Code: q53-42- <br />2Owner/Operator: <br />Owner/Operator: eaciow Telephone: CqA <br />Program Element: 3� (( Program Record: '.Zj Inspection Type: 'f j <br />Flow Rate (gpm): pH: <br />Sb Y <br />Chlorine (ppm): <br />2 � <br />Cyanuric Acid (ppm): <br />d <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 />❑ Pu <br />❑ Pumps <br />T)u iG �-ad iS Cxa 00 <br />- <br />a �Yr, In 11 `-e Q,� ao n aS o<S <br />[� Chlorinator <br />Flowmeter <br />Gauges <br />- u efl a CA& i((-, ix, <br />❑.i Skimmer & Gutters <br />IF Back Flow Prevention <br />Ef Main Drain Cover <br />.''n t, <br />jj W ICS rA <br />Equalizer Line Cover <br />CONSTRUCTION <br />.�-t .}, <br />TheW I 10 d I <br />E r Pool Shell <br />Fencing/Gates <br />(�(n <br />Decking & Coping <br />- - — <br />[a- Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />1 ` uwoS' .1111 <br />Rescue PoleV <br />Life Ring <br />Safety Signsall <br />aG ; f� <br />mm alr.0S •}„l l <br />l�J Iv <br />El Lifeguard <br />Pool/Deck Lighting <br />[a' Ladders/Hand Rails <br />Depth MarkerslTiles <br />- <br />First Aid Kits <br />❑ Emergency Shut-off Switch <br />-- - <br />-RESTROOMS <br />�] Showers <br />❑ Toilet & Dressing <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: 2� <br />Effluent: <br />1 4 /�� / _(� LI( <br />-pi)UI yv�2t` (d'CCA�`'i ,6-��" 1� <br />Time In: IU; <br />Received By:pPa� <br />Time Out: �(:US <br />EHD 36-01 5-6-12 SWIMMING POOL OR Page ( of <br />