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p4V.IN_ .. SAN JOAQUIN COUNTY I� <br />e' ENV HON MENTAL HEALTH DEPARTN .. T <br />N: 2 <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: V 110 ge t4 &4 "yt c Ic A <br />SS C- Date: (r- /t? -/v <br />Address:li0u tGrnF L:n �i ty T/'ni Zip Code: gSJ '7l <br />Owner/Operator: ./IA uL Su 1'n Moe e; Fo ASgoc Telephone: LF,JJ, '?y SJ-,.q��� <br />Program Element;;61/ IS 61 Program Record: 7 & YAG 5/ fla V Inspection Type: iqc L4 I,' <br />Flow Rate (gpm): <br />C,0 <br />pH: <br />Chlorine (ppm): <br />R 4.6 CC-010C[-G• <br />Cyanuric Acid (ppm): <br />lj� <br />Temp: <br />03 <br />Reinspection on or after: <br />Other: <br />• RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />Filters <br />Gc I <br />[.{ Pumps <br />01 Fro Ch/or;ne ';1 /D 0 M, G JAI <br />[�] Chlorinator <br />Flowmeter <br />J <br />bCIto P/Y� I. S- CCYrPc� Alb v <br />[I� Gauges - <br />-- <br />? ps ) t, C cl- Va I ve ja(k"rq w <br />Skimmer & Gutters <br />Back Flow Prevention <br />/1 <br />o+ h+ 5 /YI/✓It'r S. /cn ) Yt i n 2 <br />❑' Main Drain Cover <br />❑� Equalizer Line Cover <br />CONSTRUCTION <br />Pool Shell <br />Fencing/Gates <br />Nall Cl C'; �L70 M <br />Decking &Coping <br />Or.,; : cr D Yl P } S' S o n. <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />S u <br />Life Ring <br />Safety Signs <br />NO V <br />[� Lifeguard <br />[I] Pool/Deck Lighting <br />Ladders/Hand Rails <br />[� Depth Markers/Tiles <br />Ej" First Aid Kits <br />❑ Emergency Shut-off Switch <br />- <br />RESTROOMS <br />[�- Showers <br />El/ Toilet & Dressing <br />Ventilation <br />WATER QUALITY <br />Q, Chlorine <br />pH <br />[3 Cyanuric Acid <br />[] Clarity <br />©' Test Kits <br />MISCELLANEOUS <br />Supervision & Control <br />General Sanitation <br />❑Y' Algae <br />�Qn 21 <br />Influent: <br />P,-' <br />S P—/s <br />Effluent <br />r/� r 1 <br />Time In: ,d/ <br />�� S d <br />Received Sy: <br />- <br />ti '.t r <br />Inspected by: <br />�� / Lf-Z- <br />Time Out: �.i .� 101. <br />EHD 36-01 5-8-12 SWIMMING POOL OIR 4k Page -�-- of <br />i%1 fi. is d <br />•,, A <br />