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Pay.In., SAN JOAQUIN COUNTY <br />EN% ­ION MENTAL HEALTH DEPART[ JT <br />1868 L_ Vfiazelton Avenue, Stockton, CA 95200-6232 <br />°' •; Telephone: (209) 468-3420 Fax. (209) 468-3877 Web: www.sjgov.org/ehd <br />e ' <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: za, Tev FFWTe 1777;77 Q/K Date: Le'L <br />Address: _VjJ City: Zip Code: <br />Owner/Operator:Lk"Z111—C Telephone: <br />Program Element: a Program Record: O's g Inspection Type: ne_ <br />Flow Rate <br />^^UU <br />pH: <br />-% . <br />Cx(me (ppgij; <br />D~q(/ <br />r l.. <br />Cyanuric /Acid (ppm): <br />l,�'(V <br />Temp: /7 <br />V <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetyCode Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />�igviA <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />-- <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />Rescue Pole <br />_❑ <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 />MISCELLANEOUS <br />❑ Supervision & Control _ <br />❑ General Sanitation <br />-- <br />❑ Algae <br />Influent: 101 <br />�j <br />Effluent Q <br />Time In: ' 1I <br />Receivved By: Inspected by: <br />Time Out: <br />EHD 36-015-8-12 SWIMMING POOL OR v Page — of <br />