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<br />SAN JOAQUIN COUNTY
<br />ENVIRONMENTAL HEALTH DEPARTMENT
<br />1868 East Hazelton Avenue, Stockton, CA 95205-6232
<br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd
<br />R e c ej v e,r1 B Inspected by:
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<br />SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />Name of Facility: \--1 42..._ .1 .,,e77,./ A.I.,(-vz.i.„4---2_ Date: tc - 2 -
<br />Address: 1/4 :...\ \ .s ‘ pc.„( .\_,2_, p,,,,...._ City: no.{-0,,2 c. Zip Code: cr s ...3--7
<br />Owner/Operator: ‘'Nc\e,..k. 2...ci.r i- i\l\a,ncAci ,a4.c....Q.c.__*-- Telephone: \o 2 c--I — (6032
<br />Program Element: ,(cm ‘ \ """) Program Recor‘? '.(,-tio s CD I Inspection Type: ----k
<br />Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp: einspection on or after:
<br />Other:
<br />END 36-01 5-8-12 SWIMMING POOL OIR
<br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
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<br />Time In: \
<br />Time Out: \e'2 ..k oc) ty.\
<br />RECIRCULATION EQUIPMENT
<br />El Filters
<br />0 Pumps
<br />El Chlorinator
<br />El Flowmeter
<br />CI Gauges
<br />0 Skimmer & Gutters
<br />0 Back Flow Prevention
<br />0 Main Drain Cover
<br />El Equalizer Line Cover
<br />CONSTRUCTION
<br />0 Pool Shell
<br />El Fencing/Gates
<br />Decking & Coping
<br />El Wade Pool — 2 Main Drains
<br />SAFETY EQUIPMENT
<br />Rescue Pole
<br />CI Life Ring
<br />Safety Signs
<br />ID Lifeguard
<br />Pool/Deck Lighting
<br />Ladders/Hand Rails
<br />El Depth Markers/Tiles
<br />[1] First Aid Kits
<br />0 Emergency Shut-off Switch
<br />RESTROOMS
<br />0 Showers
<br />Toilet & Dressing
<br />Ventilation
<br />WATER QUALITY
<br />0 Chlorine
<br />pH
<br />Cyanuric Acid
<br />0 Clarity
<br />El Test Kits
<br />MISCELLANEOUS
<br />Supervision & Control
<br />General Sanitation
<br />El Algae
<br />Influent:
<br />Effluent:
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