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gAVIN <br /> SAN jOAQUIN COUNTY <br />Altr".. <br />1'4 <br /> E RON MENTAL HEALTH DEPART -NT <br />• <br /> <br /> 1868 Last Hazelton Avenue, Stockton, CA 95.c.,J-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: uv.f_1(Ai--\ datc.,,4c. Cl.t.1/4-..4,i—s-/\.. --)\- Date: 6 ---,S--- 1 <br />Address: S-( 0 c\.AA,--Nory, 3,,Q._ n, City: N\cc-- Zip Code: CI S-33),,z, <br />Owner/Operator: Po( -\-e.--\ ...,-.L-4.--)..Q....A `"%-- 0.0-....,---Q-SkC.Q_ Telephone: LAOS - 04?)(0 0 , . Program Element: 24,c3 1 1 Program Record: -360 ky9,.5-- Inspection Type:J.-- I <br />Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp: Reinspec on 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 />-...)0.---4: C-X--2-9-r- L)--- ..)- k 'V C"--A- 12 • Pumps \j, i <br /> t 0 -14 • Chlorinator <br />• Flowmeter I <br />III Gauges <br />?----42-7s2- 03-Q-cv,-,(---3 -4/-7_7/C C--44-• c=c)..A_), 4Q,-,Q C-3).38/.,,x2-2,.) II Skimmer & Gutters <br />• Back Flow Prevention <br />.2-- --e scz:4-, c 0 -.0._,3-x, (-Jr? .---0-49-S • Main Drain Cover <br />III Equalizer Line Cover <br />CONSTRUCTION <br />ti-Q - • Pool Shell <br />M Fencing/Gates <br />II Decking & Coping <br />\ — I - <br />—(2 <br />)()5-' <br />...'2 I-3 5 (2 nn • Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />• Rescue Pole <br />• Life Ring <br />II Safety Signs <br />• Lifeguard <br />• Pool/Deck Lighting <br />• Ladders/Hand Rails <br />III Depth Markers/Tiles <br />• First Aid Kits <br />Emergency Shut-off Switch <br />RESTROOMS <br />LII Showers <br />MI Toilet & Dressing <br />• Ventilation <br />WATER QUALITY <br />Chlorine <br />pH <br />• Cyanuric Acid <br />• Clarity <br />II Test Kits <br />MISCELLANEOUS <br />II Supervision & Control <br />0\ 0 tr'2., 5 Q 7 , '0 0 c)-- (al,filoY) • General Sanitation <br />MI Algae <br />Influent: <br />Effluent: <br />2'. 1-4-Q,,Y\ <br />Time In • Rece • In by: <br />—17-t---F"'rrirt—t /0/1 L , (-\\(c.\ i e 5 \ Time Out: -2 ,. 5 if /or vet _- 0 --30 <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page of