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P.etn SAN JOAQUIN COUNTY C-14VI <br /> tiry VVIRONMENTAL HEALTH DEPS WENT <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: Ji/V� '1d Date: 9 .13 /10 <br /> Address: I Ia LCALP City: Zip Code: <br /> Owner/Operator:W Telephone: <br /> Program Element: 3 Y Program Record: Inspection Type: �LGwJ� <br /> Flow Rate(gpm): pH: Chrine(ppmL Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> 0 7 <br /> Other: <br /> 'pop <br /> The marked violations represent Health &Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters 0 ✓�._d Oh I LCGt t <br /> El Pumps <br /> ❑ Chlorinator s *In >- <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> ❑ Pool Shell <br /> --- <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY. EOUIPMENT. - - <br /> ❑ Rescue Pole <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 /> ❑ Showers <br /> ❑ Toilet & Dressing <br /> ❑ Ventilation <br /> WATER.QUALITY <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> ❑ Supervision& Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> n1 Time In: Received By: Inspected by: <br /> Effluent: t/ Time Out: �( r <br /> EHD 36-01 5-B-12 SWIMMING POOL OIR Page of <br />