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ENvIRONMENTAL HEALTH DEPARTiviENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />P4 c-ie P o 1 6e r v. <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www sigov org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />SAN JOAQUIN COUNTY <br />Co14 Date: Name of Facility: <br />l Chlorinator <br />Flowmeter <br />0 Gauges <br />EHD 36-01 5-8-12 SWIMMING POOL OIR <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />&Ku en-1- cukr. do mared <br />p .6. <br />alk v cols <br /> S /--/ ";- vr-e <br />Time In: <br />Time Out:/ 5 <br />Recrte t Inspected by: <br />—7ria,t-iLeV edc-11-trig <br />Page of <br />Address: Address: 3 8 13m r-44, b 0 ,,,./...c. • c___-1- City: 6 -/-0 c._/<-/--0 di Zip Code: G, 5 9_ 0 ,7 <br />Owner/Operator: 5/A- Telephone: C.75 i_ 2 (712,e,, <br />Program Element: -540 / ) Program Record: p (4 03 6, D OC) 3 Inspection Type: g11-4/1-5 p <br />Flow Rate (gpm): pH: Chlorine (ppm): <br />‘1, 2 E'— <br />Cyanuric Acid (ppm): Temp: Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />El Filters <br />Pumps <br />Skimmer & Gutters <br />ci Back Flow Prevention <br />Main Drain Cover <br />Equalizer Line Cover <br />CONSTRUCTION <br />Pool Shell <br />Fencing/Gates <br />Decking & Coping <br />I=1 Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />LI Rescue Pole <br />Life Ring <br />Safety Signs <br />Lifeguard <br />Pool/Deck Lighting <br />Ladders/Hand Rails <br />El Depth Markers/Tiles <br />l First Aid Kits <br />El Emergency Shut-off Switch <br />RESTROOMS <br />LI Showers <br />El Toilet & Dressing <br />ID Ventilation <br />WATER QUALITY <br />Chlorine <br />pH <br />LI Cyanuric Acid <br />I:1 Clarity <br />ri Test Kits <br />MISCELLANEOUS <br />Li Supervision & Control <br />0 General Sanitation <br />I=1 Algae <br />Influent: <br />Effluent: