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SAN JOAQUIN COUNTY <br /> r z ENVIRONMENTAL HEALTH :PARTMENT <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: r�� C-1 - �,� Date: - ?j-- <br /> Address: S S S �Vv ` J City: Zip Code: 3"S <br /> Owner/Operator: 1 J', P Qr A- ¢L L-T O Telephone: <br /> Program Element: alp 1 Program Record:I _S�_'0 4 H b Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> B.> <br /> C L 3 O Other: <br /> iC;:ffU �T The marked violations represent Health& Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover 2 ��� � � �` S � C�..^ <br /> ❑ Equalizer Line Cover `Q 1 `-� <br /> Pool Shell y <br /> ❑ Fencing/Gates V-en1 1 � l <br /> ❑ Decking&Coping 1 <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 Markers/Tiles <br /> ❑ First Aid Kits _ <br /> ❑ Emergency Shut-off Switch <br /> z OF MS ' <br /> ❑ Showers <br /> ❑ Toilet& Dressing <br /> ❑ Ventilation qq <br /> Chlorine CC <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> y <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Time In: G 2- S Rec i v e d By: Inspected by: <br /> � � r� �n � f �'S <br /> Effluent: 1 Time Out: I o 3 <br /> EHD 36-01 5-8-12 SWIMMING POOL OR V Page of <br />