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SAN JOAQUIN COUNTY <br />' ? EN\ :)NMENTAL HEALTH DEPARTW IT <br />1868 East Hazelton Avenue, Stockton, CA 95200-6232 <br />:- Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: IM 194"11- Q S Date: IfI If 24/3 <br />1 <br />Address: 3-;; yy City: Zip Code: <br />Owner/Operator: .Qy _ Telephone: <br />Program Element: *30 Program R cord: <br />Inspection Type: r n <br />Flow Rate (gpm): <br />pH: <br />2 <br />Chlorine (ppm : <br />��• Z �C <br />ec <br />Cyanuric Acid (ppm): <br />ItSS `)Tall <br />0 <br />Temp: <br />einspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />1 . A <br />/ Y kit <br />El PUMPS <br />I <br />❑ Chlorinator <br />❑ Flowmetern41 <br />l/ <br />1 <br />Y <br />❑ Gauges <br />/n(� <br />I 414 � <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />a ,4 '���l <br />1�— l f! <br />El Main Drain Cover <br />t/ 1 nuV�n(t„ <br />❑ Equalizer Line Cover <br />- CONSTRUCTION <br />'. �j '^ <br />"` r /V'IX I <br />❑ Pool Shell <br />❑ Fencing/Gates <br />Lr <br />I_IClVvntC"C <br />��" " II�',n <br />�iVN Y L0� r"*Yi IN V1 T1 ywtA- Gt Y! ( L <br />❑ Decking & Coping <br />I <br />RVI aw p%/(,� - <br />- _ <br />❑ Wade Pool —2 Main Drains <br />SAFETY f: EQUIPMENT <br />❑ Rescue Pole <br />E:1 Life Ring <br />,,/ <br />f oA/ 4— r <br />❑ Safety Signs <br />❑ Lifeguard <br />y f <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS -. <br />- -- -- <br />❑ Showers _ <br />❑ Toilet & Dressing <br />❑ Ventilation <br />-WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS -' <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time ln: <br />Received By: If <br />„� <br />Inspected by: <br />�_. I J ' ii <br />I ( <br />Time Out: ^1 <br />D liy <br />v <br />EHD 36-015-8-12 SWIMMING POOL OR Page — of <br />