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SAN JOAQUIN COUNTY <br />ENVIKONMENTAL HEALTH DEPARTMLNT <br />1868 East HazeIton 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: WcA itc34-0/‘ 4 A p .t-i <br />Date:7- iz <br />Address: 5 ) 11), 74;dellee/61City: ) ra (y Zip Code: q5.3 .1'1 <br />Owner/Operator: k) a 1 0r5 iv ri e A os Telephone: r36).. i o .15 <br />Program Element: 3 6 i 2. Program Record: . -,5".2.--C -3d b' Inspection Type: 3 (-4 Pe - i A, <br />Reinspection e or after: Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp: <br />Other: <br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />CI Filters <br />0 Pumps 271/6- 6) -1 (c,rec4Qd <br />Effluent: <br />Time In: /1:67 <br />Time Out: <br />Rec ived By: Inspected by: <br />EHD 36-01 5-8-12 SWIMMING POOL OIR <br /> Page of/