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SAN JOAQUIN COUNTY <br />EN' ONMENTAL HEALTH DEPARTA JT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Wept-www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Y r H �/ /V f Date: 7 `l- - / <br />Address: (/ ��,{�/ City: / Zip Code: <br />Owner/Operator: j ✓Z "// C Telephone: D--'7-3 / <br />Program Element: '3 1,/ t j-, Program Record: �J o Inspection Type: <br />Flow Rate{)gpri <br />pH: <br />7. tfSC <br />Chlofi a (ppm): <br />C, <br />Cyano pri <br />//X <br />Temp: <br />Reinspection on after: <br />7 V � y�� <br />Other: <br />RECIRCULATION EQUIPMENT <br />marked violations represent Health & SaiiCode Violations and must be corrected as indicated: <br />❑ Filters <br />_TAq <br />d oo V-2 C ( 1 J C,/ ... , <br />' <br />�j� <br />__- <br />[:]Pumps _ _ _ <br />E]/ Chlorinator _ _ <br />- <br />% 4//7 lnle7 � dW ` 1,/ <br />/h <br />❑ Flowmeter <br />J �G <br />--(k7'0'4 <br />El Gauges <br />/ <br />Fkt <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />/_(a�f <br />f <br />❑ Main Drain Cover <br />r YT 111 <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />If <br />ai <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 />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/1-iles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />— -- <br />- <br />❑ Showers <br />_ <br />❑ Toilet & Dressing <br />❑ Ventilation <br />" WATER'. QUALITY <br />_❑_Chlorine <br />❑ phl <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: a <br />Time In: 'r3 <br />Received By: <br />Inspected by: <br />Time Out: <br />EHD 36-015-8-12 SWIMMING POOL OF V V Page _of <br />