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a r SAN JOAQUIN COUNTY <br /> ate.. <br /> r . ENW ,ONMENTAL HEALTH DEPARTML,aT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Aompfoll (A4+ yam- Date: I j .5-1 4�f <br /> Address: v E, /'ti Cf ity: ,.t Zip Code: Cf`3 ZI 'd <br /> Owner/Operator: C.r --we,,t Telephone: <br /> Program Element: (y 2-2rogram Record: �j•'j(d,j LL Inspection Type: (-(_j-m_ <br /> Flow R e(gpm): p : Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> riIa m ! � ' ys <br /> �7. Z '-I.C�.Or'•I 7 �� ,-}._. Other. <br /> RECIRCULATION EQUIPMENT - The marked violations represent Health&SafetyCode Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator Thi r S to T! V" ccs <br /> ❑ Flowmeter <br /> ❑ Gauges C C(� G 5 n b <br /> ❑ Skimmer&Gutters �,.t � N !h , <br /> 4 6 + 2 wex <br /> ❑ Back Flow Prevention �•. i <br /> ❑ Main Drain Cover ThQ t I r h t <br /> ❑ Equalizer Line Cover S'=k AF -r — L->,4-+ yNp PLA VK �c'(Cy <br /> CONSTRUCTION <br /> ❑ Pool Shell sr' u�il M�GCQkSS� <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drainsrh V <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Polet•'�111--7_ �. <br /> ❑ Life Ring GvIQ r r'\2ct <br /> ❑ Safety Signs ' � � Ii>Oo 1 <br /> ❑ Lifeguard � I � <br /> ElPool/Deck Lighting � � a`l""', <br /> � r C o't!tiG� ��� I�t✓�2 l <br /> ❑ Ladders/Hand Rails �� O <br /> El Depth Markersll iles <br /> ❑ First Aid Kits g w o 4 1 r f V S I AL2 ,t <br /> ❑ Emergency Shut-off Switch <br /> RESTR.00MS `// <br /> E] Showers !``1D -lr c1 /J( rc <br /> ❑ Toilet&Dressing .3 r/ I <br /> ❑ Ventilation IV <br /> WATER QUALITY . �-e VQ. I tb f'-e55 <br /> ❑ Chlorine LJ <br /> 1 <br /> El pH IBJ �'� r^ r- . I m c et'1L i's /1s1 ce5 S q Q r-¢, <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits N 0 a 15&,o\,A. ' 40- <br /> MISCELLANEOUS -01 <br /> r <br /> MISCELLANEOUS ' 1( <br /> [j Supervision & Control •/ L <br /> E] _,- <br /> General Sanitation 15 r k.,- F6 � r f -hA( k <br /> ❑ Algae <br /> Influent: 15 <br /> Time In: K�` R c ived By: Inspect/ed aby: <br /> 1 �. <br /> Effluent: r) Time Out: /'✓' `^-z��•w� <br /> EHD 36-01 6-8-12SWIMMING POOL OR Page—of_ <br />