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ip <br />SAN JOAQUIN COUNTY <br />ENS, .ONMENTAL HEALTH DEPARTM__4T <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: L.�V}{(c`VIC-4> / ',t1(nV75 A✓ESr Date: 6'zo - fl <br />Address: /.S -I( S, /til L,(5 t/C- City: /Jj{)( Zip Code: cT Z �( Z <br />Owner/Operator. (-,nKCU((-4) A1/4L_S 1}554L <br />'!HN /,P Telephone: 9-(9G3 <br />Program Element: // 34 (,ZProgram Record: (U 042 PPa�'io 2r 7 Inspection Type: !)ccTINE <br />Flow Rate (gpm): <br />iQr� <br />H: 2,0 <br />Cori (p <br />Cyanuric m): <br />Temp: <br />Reinspection on or after. <br />-7 . / <br />Other. <br />-RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />r({E arc Rc6'4�te� iris EJ074vc- <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />ig _ <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />3 S u OiU J r� <br />El Main Drain Cover <br />❑ Equalizer Line Cover <br />_ CONSTRUCTION <br />A 2. My TZ) 25 q{, F004, L i d %!�`� j�o,G rJi vrs 4j,R4 <br />❑ Pool Shell <br />ArFAC 11 /} doPPEk Lc1 t RF oWt % yE Afb MP- (710 r.5 IAL&5 <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />TO ij Qouvr)f'Q clo1LNE¢T,a) C1o22C-e7 (vrr e1),NT ,. <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 />ESTROOMS '- <br />❑ Showers <br />El Toilet & Dressing <br />❑ Ventilation <br />E] Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />_ MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: 8 �� <br />Effluent: IS <br />ND <br />Time In: l-C�; <br />Receiyve By: <br />I\ <br />Inspected by: <br />Ga�U/.1 <br />, <br />Time Out: / <br />EHD 3&017-31-09 SWIAMING POOL OR <br />I b // I I Page 1 of / <br />