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SAN JOAQUIN COUNTY <br />E, ONMENTAL HEALTH DEPAR", 'NT <br />1868 East HazeIton Avenue, Stockton, CA 952u3-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SW.IMIVI NG POOL OFFICIAL INSPECTION REPORT <br />i - Name of Facility:,„ A , , , Date: (jok ,,_ g (443 <br />Address: # <br />,•: / 4 (..„ City: (litCtik ri l fc / Zip Code: <br /> <br />. ' / i <br /> <br />Owner/Operator. • / ../— &go 4A.e. phigiou Telephone: <br />Program Element: Program Record: Inspection Type: '\,/. A7/1.6 (6 Z.81 <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 />Alit 1111 dia04-4-° — <br />If ;--) a A-10 ke--Ff---- • Pumps <br />26 7/019-- "st,to-z-teieze III Chlorinator <br />M Flowmeter <br />• Gauges ) t) JnQ ,1.44,0C) 14 1 44:4;e-i2314Y Aleiti' AA-c.: , 44 III Skimmer & Gutters <br />• Back Flow Prevention 3 <br />144.41 atii ei,stv,_4Z-efa . IN Main Drain Cover .16/4_t__ 7,44.14, <br />• Equalizer Line Cover <br />CONSTRUCTION <br />grk... Pete74-7 ete. /-42 _ 1444,-17 litibte, li--._ • Pool Shell <br />Om irc D . /14-41.-±d frj:51 0 2.)9 • Fencing/Gates <br />• Decking & Coping v <br />• Wade Pool - 2 Main Drains ____________---•----. <br />ad,' 71,6 • 24424A.) cliaLs j AA-. 1913t:21) SAFETY EQUIPMENT <br />• Rescue Pole 4_ 4 " g <br />i ikairikk, 11-( 0 R C, r g- eiPagirA-- 4 .4<__ Quoc,A . • Life Ring <br />E Safety Signs <br />• Lifeguard /9 , /3 a_,,„,,,,,,.,_ Nato 01"C-- 11114- C4-‹ 'CA-a-el:2) f...(.4%.0 ) • Pool/Deck Lighting <br />• Ladders/Hand Rails a . <br />L. <br />T <br />• Depth Markers/Tiles <br />First Aid Kits • <br />• Emergency Shut-off Switch <br />j _Y RESTROOMS '— ---------,_____ <br />• Showers <br />• Toilet & D sing <br />• Ventila f <br /> a \I oc)e.61 raza.@, 53 (.61 ci . c 60 WA <br />Chlorine <br />• pH <br />III Cyanuric A cid <br />Clarity 4 LI <br />fl Test Kits <br />MISCELLANEOUS <br />• Supervision & Control <br />• General Sanitation <br />MI Algae <br />Influent: <br />Effluent: <br />Time In: l' , s-b Receive By: ted by: <br />Time Out: D ; 14,-S <br />v_li <br /> (A --.) <br />EHD 36-01 5-8-12 SWIMMING POOL OIR <br /> Page