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ip <br />SAN JOAQUIN COUNTY r`ENVIRONMENTAL HEALTH DEPARTMENV <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:/7 <br />L� 7 / <br />Address: <br />city: <br />Zip Code: <br />Owner/Operator. <br />114017C 1u <br />Telephone: — Z <br />Program Element: Program Record: Q <br />Inspection Type:' <br />Flow Rate (gpm): <br />pH: <br />r <br />Chlorine (ppm): <br />'O C tr <br />Cyanuric Acid (ppm): <br />3 D <br />Temp: Q �f <br />L <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety <br />Code Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />�ou <br />(n <br />aWa�'c �fcl� j <br />❑ Chlorinator <br />❑ Flowmetert—tvg:w <br />❑ Gauges <br />r <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />✓ I !/ S <br />J <br />❑ Main Drain Cover <br />m.{ <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 />❑ 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 />❑ Algae <br />Influent: I <br />Effluent: <br />Time In: -Iftceived By: <br />Time Out: <br />Inspected by: <br />EHD 36-01 5-6-12 SWIMMING POOL OIR I Page <br />