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SAN JOAQUIN COUNTY <br /> ENVIr.JNMENTAL HEALTH DEPARTME,VT <br /> Ni { <br /> '• 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)468-3877 Web:www.sigov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: 1„� S t'C" jQ- r Date: 6 ^Z`b - Z <br /> Address: p ,,,` (,(" , City: S,(-aC Zip Code: n <br /> Owner/Operator: a� a (1 O.e a1 LI-x�—�( Telephone: <br /> Program Element: '3(� 1 Program Record: '6 j 6C2 0 6 Inspection Type: /2-c]L4- '— - <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 L <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges S <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover 1,5 o f o 4 rr �� <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 /> REST; <br /> ❑ Showers_ <br /> ❑ Toilet& Dressing <br /> ❑ Ventilation <br /> WATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits - - <br /> IMISCELLANEOUS <br /> ❑ <br /> Supervision&Control _ <br /> ❑ General Sanitation _ _ - <br /> ❑ Algae <br /> Influent: <br /> Time In: 7 7� Received By: Inspected by: <br /> Effluent: Time Out: 2 !00 N <br /> EHD 36-015-8-12 SWIMMING POOL OIR Page of 3 <br />