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oPay.ln.. SAN JOAQUIN COUNTY <br />r EP 'RONMENTAL HEALTH DEPART ?NT <br />t 1868 midst Hazelton Avenue, Stockton, CA 95--v5-6232 <br />Fo Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sigov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: n Y •1 \0 Date: / % l3 <br />Address: N . Vin n ' City: XA rj Ae Zip Code: 1,51, - <br />Owner/Operator: Vcku 1 1 cjn '900 G-40m(a e Telephone: $27j <br />Program Element: 3(0I Program Record: FF -0--71400(09 Inspection Type: ?-Cuilr)e <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Ar t -G <br />L).1 Gv <br />Cyanuric Acid (ppm): <br />"L� <br />"7 <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent He/a�lth&Safet Code Violations and must becorrected asindicated: <br />Filters <br />j V'S�(� O " 4R U z t V -I 1 Qnd <br />Pumps <br />y� <br />dp T V Q •ieSf- � 1 S • Co(Wcj- <br />Chlorinator <br />112,Flowmeter <br />auger <br />Skimmer & Gutters <br />❑ BackFlow Prevention <br />-m •� iW � ! need i73 6 <br />Main Drain Cover _ <br />in 2 W QQ/K - <br />❑ Equalizer Line Cover <br />".'' CONSTRUCTION <br />�tQrThQa T)Orha <br />v ILt� <br />Pool Shell <br />Ltd" Fencing/Gates <br />Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />. <br />0UM102. - Of 'ti't 2 ned(V&i hos i iA l and <br />.SAFETY EQUIPMENT <br />M(Jlre;6 <br />_ Rescue Pole_ <br />ife Ring <br />/�� <br />S� PS C�tn 1K {..( �� 11 51 too I <br />Safety Signs <br />❑ Lifeguard <br />©Pool/Deck Lighting <br />Ladders/HandRails <br />� <br />�j n bUS 1)0'.a an At+0CIVA <br />P�Dpelpth Markers/Tiles <br />�`' <br />e � -\c-, ak `Qasf- - 'bO y k&b Co"F- -thP— <br />Er First Aid Kits <br />❑ Emergency Shut-off Switch <br />IV <br />oo` jpA' <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />I—i"D6 <br />WATER QUALITY <br />Chlorine <br />pH <br />ESK Cyanuric Acid <br />EV Clarity <br />[' Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: ,4 <br />Effluent: <br />A <br />20q-46P�-344 (p <br />Time In: Id t°.Ja <br />ece vetl B <br />Ins ected byt.t_ <br />Time Out:., ` i A6 <br />EHD 36-01 5-8-12 SWIMMING POOL OR / Page of / <br />