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auln. SAN JOAQUIN COUNTY <br /> Z EN' IONMENTAL HEALTH DEPARTP --NT <br /> 1868 E.,,st Hazelton Avenue, Stockton, CA 952 _.-6232 <br /> a H Telephone:(209) 468-3420 Fax.(209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: �p_M n 5 kare Date: 1 -I f>-( <br /> Address: $03 EF L4A , City: Zip Code: 0.152/d <br /> Owner/Operator: S- r ko'Nr: L � Telephone: j6'6Z 1827 <br /> Program Element: (,l y- Program Record: 036c>]y 3> Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> 30 7.5 3. -35 Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&SafetCode Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps I <br /> ❑ Chlorinator <br /> ❑ Flowmeter E (A,} n� Lot ISlrble- of d-ebr15 <br /> El Gauges C` )� <br /> ❑ Skimmer&Gutters j-s F tanr� H S u r <br /> ❑ Back Flow Prevention ' <br /> E] Main Drain Cover —1 tt-a- t / in /><< 55 r✓t Ct r^ Coo dQ, <br /> ❑ Equalizer Line Cover L7t2-0,A- ' Cjgae *I-e.1 11"L0, rl n <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates cLIn r C h 4?1 <br /> Pei- <br /> 7 Decking& Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT Ltk4 (-JleQc <br /> ❑ _Rescue Pole _ Tr <br /> ❑ Life Ring Q ve OX-e- La6lca� <br /> ❑ Safety Signs <br /> ❑ Lifeguard ^ \G <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails C 0.l I 0 - -2-'464 r P e(n 1 CXR <br /> ❑ Depth Markers/Tiles / <br /> El First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> WATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH _ <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS' <br /> ❑ Supervision& Control <br /> ❑ General Sanitation <br /> ❑ Algae Sr /tS rvt , sin P 7 /I�t., f kt,.e <br /> Influent: �7 rj/ h 5 .44 S <br /> Time In: Re ived y: spected by: <br /> N� t 2'L� <br /> Effluent: Time Out: ;CXo <br /> EHD 36-015-8-12 SWIMMING POOL OIR Page_of <br />