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t% SAN JOAQUIN COUNTY S�6 E' IRONMENTAL HEALTH DEPAR ENT 6W East Main Street, Stockton, CA 95202-3029 t;e_oeai- Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd SWIMMING POOL OFFICIAL INSPECTION REPORT Name of Facility: U Date: U Address: 0,City: Zip Code: Owner/Operator: a(;( G Co Telephone: S Z Program Element: tz.,Program Record: 631eb I Inspection Type: Vel Flow Rate (gpm): pH: 7C1r.i.nbV(PaPm Cyanyric Acid (ppm): IOU Temp: tol Reinspection on or after:� Other: ;.:RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: ❑ FiltersPll(f,/ ❑ Pumps q VV vl. (� ( YY`*N— O y R If C,G�114 y� /zilevAA— E3Chlorinator El Flowmeter 41 Int �J Ad u Ll Gauges ❑ Skimmer & Gutters ❑ Back Flow Prevention f J viav I `I / p � Vl 00 yt ^ n , t VV 1" 4M ❑ Main Drain Cover ❑ Equalizer Line Cover CONSTRUCTION ❑ Pool Shell ❑ Fencing/Gates ❑ Decking & Coping ❑ Wade Pool - 2 Main Drains SAFETY EQUIPMENT' ❑ Rescue Pole ❑ Life Ring ❑ Safety Signs ❑ Lifeguard ❑ Pool/Deck Lighting ❑ Ladders/Hand Rails ❑ Depth Markers/Tiles ❑ First Aid Kits ❑ Emergency Shut-off Switch -- - - RESTROOMS ❑ Showers ❑ Toilet & Dressing ❑ Ventilation WATER QUALITY ❑ Chlorine ❑ pH ❑ Cyanuric Acid ❑ Clarity ❑ Test Kits MISCELLANEOUS ❑ Supervision & Control ❑ General Sanitation ❑ Algae Influent: a) EfFluent: Timeln: I -Received By: L In, petted by: � t � Time Out: t Ei 36-017-31-09 SWIMMING POOL OR Page of