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SAN JOAQUIN COUNTY <br /> z` ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �' •1r Telephone: (209) 468-3420 Fax: (209)468-3877 Web:www.sjgov.org/ehd <br /> Fo <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: aL�% / w%eN S Date: U- 1 Z <br /> Address: E O„1 ,eLvt City: 5 c' Zip Code: '?4;-2- 110 <br /> Owner/Operator. S' aC'�- -Cr� /wlaTelephone: <br /> ' Program Element: 11-2- Program Record: . Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> E0.sF j4o 7.3 3 $ o <br /> Other: <br /> Cie.; Lf 0 7.d 1y.0 ,2GL <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must becorrected asindicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator CD `r Grn � A / �- � <br /> ❑ Flowmeter <br /> ❑ Gauges r L L. <br /> El Skimmer&Gutters (�� GIC .r eS .tic S�t cw 0'4r <br /> ❑ Back Flow Prevention a 11 ,i P r <br /> po /� ,� <br /> E] Main Drain Cover _ ,I.. � <br /> E] Equalizer Line Cover S � I l tlZ- (t �t't <br /> CONSTRUCTION <br /> ❑ Pool Shell Z' I <br /> ❑ Fencing/Gates 3 P� K 10.2 �(•'ti . ,� S <br /> ❑ Decking&Coping <br /> ❑ Wade Nool-2 Main Drains , <br /> SAFETY EQUIPMENT ' <br /> ❑ Rescue Pole <br /> ❑ Life Ring RMQ <br /> ❑ Safety Signs Y c LA u 64e <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting C k `tt- <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/riles II <br /> El First Aid Kits 4l2TW . 2- <br /> EI <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS v 1 <br /> ❑ Showers " - <br /> ❑ Toilet&Dressing <br /> ❑ Ventilations G o f <br /> WATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric AcidCEW <br /> W 0.4c <br /> ElClarity / - <br /> ❑ Test Kits 7CJ e <br /> MISCELLANEOUS' <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: �� Wes.'f- <br /> IL{ Time In: Re ved By: Inspected by: { <br /> Effluent: (j Time Out: <br /> EHD 38-01 5-8-12 SWIMMING POOL OIR Page—of <br />