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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> • 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)468-3877 Web:www.sjgov.org/ehd <br /> 5VV11tl1-MI- -G— ©1)1=o-P 1E-C-TI-aN R E-Ploltl <br /> Name of Facility: �j C�c.�,., q r <br /> Date: Z-6 - L <br /> Address: City: Zip Code: <br /> Owner/Operator: rye v ' L1-v,�64 Telephone: <br /> Program Element: 3(� 1Program Record: '6 3 p C) Fj Z— Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters - <br /> WeS <br /> ❑ Pumps T b� w h(n•ec(. <br /> ❑ Chlorinator !! <br /> ❑ Flowmeterl�- <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention �o <br /> ❑ Main Drain Cover �L �u c '4t- <br /> ❑ Equalizer Line CoverC— <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> __.. ._ <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 /> M IS CE LEAN EO US <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Time In: �� Received By: Inspected by: <br /> Effluent: Time Out: <br /> EHD 36-01 5-e-12 SWIMMING POOL OR PageOf-3 <br />