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n SAN JOAQUIN COUNTY <br />EN,v,RONMENTAL HEALTH DEPARTNI"NT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />�%FOR <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: r -eQS- Date: (p• --1_(o <br />Address: �' IIS City: �p Zip Code: U'1524'2 <br />Owner/Operator: `� .r ' I -�i0 Telephone: 3& G) _ / q L3 <br />Program Element , 1.Z Program Record: P D�p CL'(c!C? 3/o d Z 5 Inspection Type: --12 l <br />Flow Rate (gpm): <br />Pool / / O <br />pH: <br />Poo 1 -1 • v <br />Chlorine (ppm): <br />PaOspm. <br />Fc 3, <br />Cyanuric Acid (ppm): <br />Poo <br />100 <br />Temp: <br />Reinspection on or after: <br />Other:go, <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetyCode Violations and must be corrected as indicated: <br />Filters <br />( D' S� x,p4 work' L <br />[a Pumps <br />[9 Chlorinator <br />i Oct r o o L") <br />❑ Flowmeter <br />540 h arm Ce lac 'r <br />[�] Gauges <br />E� Skimmer & Gutters <br />C11 yn; .L <br />❑ Back Flow Prevention <br />�b m ` c-ov.e icZ <br />La Main Drain Cover <br />[a' Equalizer Line Cover <br />r 12 LIA c�- r <br />CONSTRUCTION <br />Pool Shell <br />❑"J^ Fencing/Gates <br />[" Decking & Coping <br />.5. CI- r r I-7a'j2 d <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />Or B.2n <br />Rescue Pole <br />^^ <br />EJ ILa zA 4U0 0. OL <br />❑ Life Ring <br />[] Safety Signs <br />1 <br />- (rA Y Pa rr-41- <br />❑ Lifeguard <br />Pool/Deck <br />❑ Pool/Deck Lighting <br />Ladders/Hand Rails <br />Y <br />Depth Markers/Tiles <br />2`7n <br />❑ First Aid Kits <br />Emergency Shut-off Switch <br />REST. MS <br />_ cop I an,-- [,1V <br />Showers <br />Toilet & Dressing <br />[' Ventilation <br />WATER QUALITY <br />O �„ Jvhdl.r.r 1 V-2t�1 I IQCR- <br />[9- Chlorine <br />_ <br />(� Cyanuric Acid <br />[� Clarity <br />�- Test Kits <br />MISCELLANEOUS <br />1 /I L35. _ <br />Supervision & ControlLl <br />General Sanitation <br />B Algae <br />116T— L <br />P°' I sem. <br />Influent: a5 02 G <br />Effluent: % i% <br />la� .kb +, , `ScAA 4- , no <br />Tlme n: //rl •l a <br />! <br />Re eived BY: <br />Inspected by: <br />n ` I_ ,- n k, <br />Time Out: : JGC, <br />EHD 36-017-18-08 SWIMMING POOL OR I V <br />