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�In.. SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTIVICNT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 Cln��"Ss <br />Pp <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd % <br />P SWIMMING POOL OFFICIAL INSPECTION REPORT P <br />Name of Facility: <br />Date: <br />Address: <br />City: <br />Zip Code: Q rj <br />Owner/Operator: <br />7-001 <br />LLC <br />Telephone: 3� - <br />Program Element: ?jt012 <br />Program Record: Z�o(D4 <br />Inspection Type: <br />Flow (Rate (gpm): <br />-lo <br />pH: <br />�- . <br />G <br />Chlorine (ppm): / <br />c'.0 • C�I f <br />C C <br />Cyanuric Acid (ppm): <br />'fOOO...� <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 />❑ Pumps <br />\ - - <br />` t <br />❑ Chlorinator <br />❑ Flowmeter1t <br />cJC 2 <br />$ <br />c ✓� <br />El Gauges <br />fv-\ <br />CSF c452 'E <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />.L \ ` C <br />a <br />, <br />n <br />❑ Main Drain Cover <br />1 <br />m <br />G <br />❑ Equalizer Line Cover <br />- CONSTRUCTION -:.` <br />(� <br />�[ <br />❑ Pool Shell <br />tN <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />'3 <br />' 14Q^ <br />11 <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />1 C 1 <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />- <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 2 <br />Effluent: O <br />Time In: <br />Received By: <br />Inspected by: <br />y__ d\ +I 1 <br />Time Out 2'. <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page — of <br />