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SAN JOAQUIN COUNTY <br /> ENVIKONMENTAL 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 /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: S (,kqr---e— Date: <br /> Address: E! L City: Zip Coda: JS2-(C7 <br /> Owner/Operator: Telephone: <br /> Program Element: 3t>( 1 Z Program Record: p3&-'>2G- fJ 3co C( 'L— Inspection Type: g r H H <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> 3S �•(7 `I fJ C7cc_ D <br /> JJ l[ 7• C C Q Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters , 1 ,-� pop <br /> I <br /> El PUMPS <br /> N <br /> ❑ Chlorinator O CCaackS ceYUun <br /> ❑ Flowmeter <br /> ❑ Gauges Poo T c-c V kqc, S04440 cytQCLS qS <br /> ❑ Skimmer&Gutters RQ i 6 a�si�1N <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover Z o•r ft�a Pc�oS ci(r, S <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION-MM t �h bQ.Iw <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping �`_ <br /> El •f Wade Pool-2 Main Drains S ` T a4A C'�• C �'iv� �,S <br /> SAFETY EQUIPMENT. <br /> ❑ Rescue Pole <br /> ❑ Life Ring M r CLAA I <br /> ❑ Safety Signs 1 it r �t.I ear !L a'+� 'Tgo <br /> ❑ Lifeguard o / ' <br /> ❑ Pool/Deck Lighting aw C rkj c <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS IS Wf'l N <br /> ❑ Showers /- kO b,,e -2.- <br /> EI <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> WATER QUALITY / <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid D'6 <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> E] Supervision & Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> 2 'L NA Time In: Received By: spected by: <br /> Effluent: <br /> Time Out: "V <br /> EHD 36-015-6-12 SWIMMING POOL OIR `\ Page-4-of--J <br />