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Date: 7- 2.. Name of Facility: <br />Address: os 1 co. 10 ; dcl le I ie ldCity: 7 - I Zip Code: 95y 7 7 7 <br />Telephone: a- 36 - 15 .. 0 Owner/Operator: lk.) a 4- ,-5-I-one An -if <br />Program Element:.iipi,j—h 4/2.. Program Record: 5..1 6 3 6-7 i 5)..6,ibl Inspection Type: 2 ad e , It 5,t9c b.„ <br />Flow Rate (gpm): pH: Chlorine (ppm): <br />Fc-12. 2 <br />Cyanuric Acid (ppm): Temp: Reinspection on br after: <br />a- Wee K5 Other: <br />5 hcwor CI Safety Signs <br />El Lifeguard <br />04, Time Out: <br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />re-off <br />El Flowmeter <br />CI Gauges <br />El Skimmer & Gutters <br />CI Back Flow Prevention <br />El Main Drain Cover <br />El Equalizer Line Cover <br />CONSTRUCTION <br />SQ4 <br />'pp laced <br />C;orrec-i- <br />i;?Al no"- <br />klec—ir;c4 1 prch /i <br />I; 4 y <br />CI Pool Shell <br />CI Fencing/Gates <br />El Decking & Coping <br />El Wade Pool —2 Main Drains <br />SAFETY EQUIPMENT <br />El Rescue Pole <br />DI Life Ring <br />El Pool/Deck Lighting <br />El Ladders/Hand Rails <br />CI Depth Markers/Tiles <br />El First Aid Kits <br />El Emergency Shut-off Switch <br />RESTROOMS <br />D Showers <br />CI Toilet & Dressing <br />CI Ventilation <br />WATER QUALITY <br />El Chlorine <br />El pH <br />111 Cyanuric Acid <br />I=1 Clarity <br />111 Test Kits <br />MISCELLANEOUS <br />111 Supervision & Control <br />CI General Sanitation <br />D Algae <br />Influent: <br />ofre c <br />CC r re C I <br />r) r 0 tt e Co f Sect e <br />.2 Wee les. <br />to0 0 r fr) ko0 ct <br />(6r1 e ro <br />2 e <br />Time In: Ato Inspe ted by: <br />77f Effluent: <br />CI Filters <br />Pumps <br />El Chlorinator <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMtNT <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 />EHD 36-01 5-8-12 SWIMMING POOL OIR Page_4_ of 4_