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ra tn.. SAN JOAQUIN COUNTY <br />EI RONMENTAL HEALTH DEPART :NT <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: '�jrq C n Date: <br />Address: U W. :� City: "TI- a C Zip Code: S 3 7,6 <br />Owner/Operator: , C K / r rQ r G r US Telephone: 3'•3s- Q U (/ <br />Program Element: 36 11 Program Record: 3 6 G 4 7 3 Inspection Type: OM d: n o <br />Flow Rate (gpm):pH: <br />U <br />�i <br />o U <br />Chlorine (ppm): <br />CC -o u <br />rC • U.2 4 S. re <br />Cyanuric Acid (ppm): <br />Ll <br />N G <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetCode Violations and must be corrected as indicated: <br />LD/Filters <br />C r t i C r; n, A •% 4 %tea: 1a <br />[DI Pumps <br />n <br />bP I 0 e -n �� 0 0 LOrr/co <br />Chlorinator <br />Z Flowmeter� <br />GA r $ %r C/O S, CG//tCiC <br />Gauges <br />Skimmer & Gutters <br />3 I j 9.0. is . n b 4 tje p <br />Back Flow Prevention <br />EY Main Drain Cover <br />Equalizer Line Cover <br />CONSTRUCTION... <br />Pool Shell <br />Fencing/Gates <br />Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT _ <br />Rescue Pole <br />[fY Life Ring <br />Safety Signs <br />❑ Lifeguard <br />Pool/Deck Lighting <br />Ladders/Hand Rails <br />Depth Markersrriles <br />First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />Showers <br />Toilet & Dressing <br />Ventilation <br />�// <br />'� /r�Ov� ,�; ar r r I S' h id en ii< <br />:. .WATER QUALITY <br />Chlorine <br />CI?' -pH - <br />Cyanuric Acic <br />Clarity <br />Test Kits <br />MISCELLANEOUS <br />Supervision & Control_ <br />General Sanitation <br />Algae <br />Influent: I <br />Effluent: N <br />Time ln:S <br />Receive <br />Insp ct d by: <br />Time Out: 12, Uf/ <br />EHD 36-01 5-6-12 SWIMMING POOL OR Page -4 o' -I-- <br />