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[AIIIII(_9 <br /> 4��'�• SAN JOAQUIN COUNTY <br /> ter: EN' IONMENTAL HEALTH DEPARTP "�jNT <br /> 1868 st Hazelton Avenue, Stockton, CA 952u-o-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: Ud -r'w M L Date: 7-29-/5- <br /> Address: mcze-a+ aw City: Zip Code: 9 S 3'3 G <br /> Owner/Operator: N Of r ;'--5 L _ Telephone: -Z-? 24 7 <br /> Program Element: f Program Record: t73Co�C4 y(v Inspection Type: <br /> Flow Rate(gpm): pH: "'7 Chlorine <br /> /(ppm): Cyanuric Acid(ppm): Temp. Reinspection on or after: <br /> 3 / r 6,(: Dcc Other: <br /> RECIRCULATION EQUIPM,ENt":` The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator v1 i r <br /> GtA <br /> ❑ Flowmeter r <br /> ❑ Gauges C�('�C c n��� Ck Vick'p— G' <br /> ❑ Skimmer&Gutters y 2e Ins +' �e Lt SCDCD <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover Z �v�� Cr <br /> ve4 <br /> A <br /> ❑ Pool Shell t.J aj'"e r , -9z�rw� G1lJl�•a�►�� ring t v.(r-Q t► C sZQ <br /> ❑ Fencing/Gates C� -t S 8Z wA r' <br /> El Decking&Coping <br /> ❑ Wade Pool—2 Main Drains <br /> SAFRTy,-EQ j,F,,MEN'T: erp[2-9r 2 MR ,C <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 /> RESTROOMS <br /> ❑ Showers <br /> ❑ Toilet& Dressing <br /> ❑ Ventilation <br /> WATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: S <br /> Time In: r Z� Received By: Inspected by: <br /> Effluent: 1 �j� � k�� , <br /> I Time Out: Z`- �� ,=�+t-('�(/ �t* � <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page—of_ <br />