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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 /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: I Date: 7 <br /> Address: S it S r I G n City: zip Code: 47's 3 S <br /> G <br /> Owner/Operator: LC' )au j e ) Lr Telephone: <br /> Program Element: 61/ 3(�12 Program Record: S 2 3 5 S 3 Inspection Type: f"G baa_ .-�. <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health& Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps -- <br /> ❑ Chlorinator r re e C h f ej U /�') . a K _ <br /> ❑ Flowmeter <br /> ❑ Gauges r - P <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover f P C f J .' <br /> CONSTRUCTION <br /> ❑ Pool Shell r P" 0a ell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping (� <br /> ❑ Wade Pool—2 Main Drains t r''" IC45 r S 12C C � on � r <br /> SAFETY EQUIPMENT ro � � n _/ I fiG 5 <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs S . <br /> El Lifeguard C Q ' n c' i G /) "C <br /> ❑ Pool/Deck Lighting p p )'?5 ' <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 <br /> MISCELLANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae - - -- - -- <br /> Influent: <br /> Time In: 1;3 2 Recei e p cted by: <br /> Effluent: <br /> Time Out: <br /> EHD 36-01 5-8-12 SWIMMING POOL OR Page-j—Of <br />