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SAN JOAQUIN COUNTY <br />ENV )NMENTAL HEALTH DEPARTM' <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: r4-4I17_/:,7y "4/' Date: <br />Address: City: Zip Code: <br />Owner/Operator: Telephone: ..—...W.-• <br />Program Element: Program Record: Inspection Type: <br />Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp: Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />• Filters <br />Pumps <br />A:r;ix'...-----Alz . Z) Chlorinator <br />M Flowmeter <br />AtieV/c- ,X) /cr --- -•,z' 9,/•,P-. •e ---.-'7. • ! : 2 ,‘F-r-z9,-,-).-7-4,3,-2--,.,- U Gauges <br />,ZOP"." e.,‘. .4' ,t*. .0"2 2v-2/2 ‘../2 --Y---r eil)(2)--z.z7 -- III Skimmer & Gutters <br />• Back Flow Prevention <br />• Main Drain Cover <br />• Equalizer Line Cover <br />CONSTRUCTION • <br />• Pool Shell <br />• Fencing/Gates <br />M Decking & Coping <br />M Wade Pool - 2 Main Drains <br />S AFETY EQUIPMENT - , <br />M Rescue Pole <br />• Life Ring <br />III Safety Signs <br />• Lifeguard <br />• Pool/Deck Lighting <br />M Ladders/Hand Rails <br />• Depth Markers/Tiles <br />IN First Aid Kits <br />M Emergency Shut-off Switch <br />1ESTROMS ,-, <br />IN Showers <br />• Toilet & Dressing <br />III Ventilation <br />WATER OUALITY , <br />• Chlorine <br />• pH <br />---,19 rec-'71‘ • Cyanuric Acid <br />• Clarity <br />— 6,2---r% -..-..‘=,- 7C----.2.4...2 - 6ez-_) • Test Kits <br />7/—,--$1- , ,6/ 1 NEOU S' q"' <br />• Supervision & Control <br />• General Sanitation <br />• Algae <br />Influent: <br />Effluent: <br />Time In: Receiv By: nspec d by: <br />Time Out: .14-e... / : <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page c:7of