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oP4�IN. SAN JOAQUIN COUNTY <br /> t <br /> E RONMENTAL HEALTH DEPART :NT <br /> N; <br /> '• 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �4� FOR�`P Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: �/ n . p OC/ Date: '7-/j <br /> Address: �; j A� �pn City: Zip Code: S 3J G <br /> Owner/Operator: L +h r c02 ficJe / L P Telephone: <br /> Program Element: Program Record: SInspection Type: JQC�f a 1 <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> 7V v F C D CCG.U �V Other: <br /> 1 r <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters �} <br /> ❑ Pumps .� r'V1 h U nr V , G Cl r I ; <br /> El Chlorinator G d d Y G��Ur, O I 3 y a ( : r� 4 U <br /> ❑ Flowmeter <br /> ❑ Gauges GG r r G . <br /> ❑ Skimmer&Gutters C i r3 I p s /< c: / r e <br /> ❑ Back Flow Prevention 3 r)001 V c, V e Ks <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover C Q r re c Jc d, <br /> CONSTRUCTION Y <br /> ❑ Pool Shell `T PS 4roolvi r1 G S r- ,/ <br /> E] Fencing/Gates 10 K S G re C 1 40 v 0 <br /> ❑ Decking&Coping , / <br /> E] Wade Pool—2 Main Drains S G i rl c4 ; /� ���P to S P G n Q' <br /> SAFETY EQUIPMENT <br /> G r h o C1 O+'1 e X 4e r; <br /> ❑ Rescue Pole door,ElGT Life Ring o o r, <br /> ❑ Safety Signs <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 /> ❑ Showers <br /> ❑ Toilet& Dressing <br /> ❑ Ventilation <br /> WATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits f� <br /> MISCELLANEOUS fret C h 1 ari ne_ - (� <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ AlgaeYLI// // y� <br /> Influent: ) b VCt��Lr� �G)( D_() 4, 11ch� rH Cru <br /> p� Time In: a• a Rec iv d Ins cted by: <br /> Effluent: Q Time Out: <br /> EHD 36-01 5-8-12 SWIMMING POOL OR Page of <br />