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P.4., . SAN JOAQUIN COUNTY <br />ENV )NMENTAL HEALTH DEPARTM" 'T <br />. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />.. T^ Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sigov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: k vt6— Date: 7 /() 1"W3 <br />Address: q LrZj 2� kv- City: Zip Code: <br />Owner/Operator: Telephone: — <br />Program Element: (it Program Record: ( <br />Inspection Type: <br />Flow Rate (gpm): <br />pH: %CG <br />C�hSlorin/e� (ppm): <br />CI.( Ac <br />O <br />Tern <br />p: Reinspection n or after:jjy <br />Other: O <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters _ <br />I r /,eOM _ <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />✓ <br />❑ Gauges <br />7 j <br />❑ Skimmer <br />❑ Back Flow Prevention <br />A a QJ �� �C L <br />1— is yn <br />❑ Main Drain Cover ' <br />M <br />❑ Equalizer Line Cover <br />'. CONSTRUCTION <br />A� Q <br />❑ Pool Shell <br />JXz <br />El <br />F-1Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />/ ,✓� J <br />L <br />`-SAFETY EQUIPMENTOM <br />V0,11 VNM i <br />❑ Rescue Pole _ <br />❑ Life Ring <br />I 3 i <br />V 060 d M(Vcuf yr <br />❑ Safety Signs <br />(r A/ I <br />❑ Lifeguard <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 />- --- <br />- WATER QUALITY <br />❑ Chlorine <br />❑ PH - <br />❑ Cyanuric Acid <br />❑ Clarity <br />- <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />E] Algae <br />/ �� p �� <br />��iC Com//��"✓/r!7 f {7 74- <br />/vf1n <br />Influent: to <br />Effluent: 7 <br />d <br />"AYhf 69/iTxll/ 'i �'tGtAir r� C1*16W S/ <br />Time In: <br />Re eiveInspected <br />by: 0- ✓ft/ <br />Time Out: <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page -I-- of <br />