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-;a .(a- SAN JOAQUIN COUNTY <br />lxbF ✓IRONMENTAL HEALTH DEPAI 4ENT <br />kr '• 1868 cast Hazelton Avenue, Stockton, CA 95205-6232 <br />"9zrF�a- <br />Telephone: (209) 466-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: 7 .�,f�" <br />Date: 6 <br />Address: f City: Zip Code: <br />Owner/Operator: Telephone: (Q — r 9V <br />Program Element: <br />I Program ecord: <br />Inspection Type: <br />Flow Rate (gpm): <br />pH: 40&t 17.q <br />Chlorin�fe (ppm): <br />U' l F-2— <br />-0 cc- <br />Cyanuric Acid (ppm): <br />M-(1"61Other: <br />30 <br />Temp: <br />Reinspection on or after: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />f <br />. , 6k I&Vwt¢ R(,fX s(gtd <br />AA Pk <br />❑ Gauges <br />J <br />n{ <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />`CONSTRUCTION <br />U -td /r /^'• <br />❑ Pool Shell <br />_ _ <br />❑ Fencing/Gates <br />LVA f1d, 6�-R <br />❑ Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />%tjA 16) <br />SAFETY EQUIPMENT <br />❑ Fescue Pole_ <br />❑ Life Ring <br />�" - <br />i -C(^ <br />❑ Safety Signs <br />❑ Lifeguard <br />0(A Q <br />.1L <br />vuj <br />E]Pooi/Deck Lighting <br />❑ Ladders/Hand Rails <br />r r ( � r / <br />` �C <br />El Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />1 <br />AJALU <br />RESTROOMS <br />(U <br />❑ Showers <br />❑ Toilet& Dressing <br />❑ Ventilation <br />LAA <br />J, <br />AVXt o.1Ad d"VO�U01 <br />WATER QUALITY <br />❑ _Chlorine _ _ <br />❑ pH <br />p I ^ <br />GI PU PJA41 L&Ll/ <br />❑ Cyanuric Acid <br />❑ Clarity <br />E]Test Kits <br />' MISCELLANEOUS <br />❑ Supervision & Control <br />_ <br />❑ General Sanitation <br />E] Algae <br />�, p „� <br />h4 `U 9W � V kq �it/� M y��i / \ dUAVIltj JAAIjLtdlM1 . <br />Influent:ggq�� <br />O ",) <br />Effluent: <br />X.UG�C4L <br />Time In: .3 <br />Recei d By: <br />// <br />Inspected by: <br />In <br />4 < Y <br />Time Out:1V <br />O O <br />EHD 36-01 5-6-12 SWIMMING POOL OIR Page <br />D76V. <br />