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P.�I.. SAN JOAQUIN COUNTY <br /> EN IONMENTAL HEALTH DEPARTro.,i T rV,Idd <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 pall <br /> .•a.�c Telephone:(209) 468-3420 Fax:(209)468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: 7� >115 <br /> Address: Ry 4tct 144yn&,--- City: Zip Code: <br /> Owner/Operator: f Telephone: <br /> Program Element: 3U 1'2, Prograff Record: d 6VpjInspection Type: ✓�w/-1 y,.L• <br /> Flow Rate(gpm): pH: Chloring(pppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> l , C s, 0 PL G(�dNR <br /> r�Q ` � Other: <br /> RECIRCULATION EQUIPMENT,, The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters P"El Pumps �I✓l OvZ44VI (�IA� li/li �i <br /> ❑ Chlorinator ( GQf Bp( • L. <br /> ❑ Flowmeter <br /> El Gauges C C /off tea / if C/VMY1^�GKIh <br /> ❑ Skimmer&Gutters A 121PIbt AkK L/ C U u--'-' <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover 4a Ywel C Q L/of Yif k/ri 11'AH l <br /> ❑ Equalizer Line Cover W Aliq ttl6fyl 14 /O m Y 1p/f <br /> CONSTRUCTION <br /> ❑ Pool Shell l l✓t U (A 611-k1-1!2 ae <br /> ❑ Fencing/Gates b t17YM 'z40 Y l h <br /> ❑ Decking& Coping /l <br /> ❑ Wade Pool-2 Main Drains lit P �a/11 A'V"� ���- ,/hmh <br /> 'SAFETY EQUIPMENT CYf C Yv- l/ lV 02 3 -d' �j'141n fnfk7 <br /> ❑ Rescue Pole <br /> ❑ Life Ring .41 M <br /> ❑ Safety Signs 7 (� Qh / 61/L° cc <br /> ❑ Lifeguard C/ n <br /> ❑ Pool/Deck Lighting IQ -/n -e <br /> ❑ Ladders/Hand Rails Pero <br /> J, <br /> ❑ Depth Markers/Tiles vu j <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch hGU Qjf"�t <br /> REST Ms <br /> ❑ Showers a 1,?4k,/1 <br /> ❑ Toilet& Dressing <br /> ❑ Ventilation y1wal <br /> / <br /> WATER QUALITY I ' CG ��� ! /f �ril G�/Y1 l/y( <br /> ❑ Chlorine n <br /> pd <br /> ❑ Cyanuric Acid YJ ✓(�(� C L ✓lP /�L7 /Y1 'f l ryl f y� <br /> ❑ Clarity <br /> ❑ Test Kits �� r✓J✓ / / t/ �1 ,� <br /> MISCELLANEOUS ,n f 6e p, bQJ - <br /> ❑ Supervision&Control ,�1� <br /> E] General Sanitation V ✓ /f � p � (h ✓ � /� l / " � <br /> ❑ Algae <br /> Influent: I (2� r' ' OJ h V l j h Q YK Y7 'C G✓l"j <br /> Time In: f 1 )L_0Rece' ed By: Inspected by: <br /> Effluent: Time Out: 'Sp <br /> S= �2Givla rs-�.t <br /> EHD 36-015-8-12 SWIMMING POOL 0IR Page / of <br />