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n.. SAN JOAQUIN COUNTY <br /> F `/IRONMENTAL HEALTH DEPAF SENT <br /> • 1860 East Hazelton Avenue, Stockton, CA 9�z05-6232 <br /> ;ko Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sigov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: UQ ,2r <br /> le V t /�cYf! ✓1 Date: V ltaq/&- <br /> Address: / I-Ly wjg"nC4 City: Zip Code: <br /> Owner/Operator: Telephone: k3&b <br /> Program Element: U( I Program Record: 0S Inspection Type:/f 0l( rPgt <br /> Flow Rate(fglpm): . pH: C.[ Chlorine(ppm): CyAnuric Acid(ppl, Temp: Reinspection on or after: <br /> I �-V T - I Cr yI"(/VVNIF Other: S <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters - ; <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover _ / , <br /> E:1 Equalizer Line Cover � �� 4V-'kt <br /> CONSTRUCTION - <br /> _❑ Pool Shell <br /> ❑ Fencing/Gates � <br /> ❑ Decking&Coping I_ L , <br /> ❑ Wade Pool-2 Main Drains XCAVf <br /> SAFETY EQUIPMENT <br /> ❑ _ Rescue Pole �/ { <br /> ❑ Life Ring (�r kJ�(. <br /> ❑ Safety Signs .ro <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails Lt7 <br /> ❑ Depth Markers/Tiles N [�(� <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <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 - _ a <br /> Influent: /d <br /> 7 Time In: • 4 ceived By: Inspected by:IJG1./_( <br /> Effluent: Time Out: 10 12 6 0 16?v1� 1 <br /> EHD 36-01 5-8-12 SWIMMING POOL OR Page_of_ <br />