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oP4�IN. SAN JOAQUIN COUNTY <br /> EN . ,RONMENTAL HEALTH DEPARTIVIcIv f <br /> y. < <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> o•Ra P Telephone: (209)468-3420 Fax: (209)468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: r J4tq TT111k) Date: <br /> Address: L City: Zip Code: <br /> Owner/Operator: / I /� r Telephone:q — p <br /> Program Element: 3 'Program Record: " Inspection Type: V1,(j y1f <br /> Flow Rate(gpm): pH: Chlorine(ppm1: yanuric Acid(ppm): Temp: Reinspection on or after: <br /> C Z I � 2FC n <br /> 11 �� 7 C2. U c C 3P Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters ; `�d SI j� ft �✓� 4� Pem'A <br /> ❑ Pumps <br /> ❑ Chlorinator v"VIC <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2 Main Drains <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth MarkerslTiles <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 � �L <br /> El General Sanitation <br /> ❑ Algae <br /> i ce vv�Lw' C10-1A/ YI'VA /40 <br /> Influent: l �j� tel[ 1�� ri fo v S 3 �l l7✓�/� pf <br /> Time In: V q0 <br /> 'Received By: IInspected by: <br /> �1 <br /> Effluent: Time Out: ( a �'/l✓Y <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page 1 of_ <br />