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?9•,Er...i • .0 SAN JOAQUIN COUNTY <br />EN\ JNMENTAL HEALTH DEPARTM_ 4T <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: (\(---(v --)kQ ----V\Ov. x2--"--) Date: <br />Address: _.,\ 10 , c' 0( -\ ,,\,,k(a., 07 City: f\j\,,4- Zip Code: 9 <br />Owner/Operator:\i,e_(,-,\fix-, ..(\.\ic/---74 . Telephone: 1623— (65 <br />Program Element: -,2:t.0 \ Program Record: 7-..,k,c)0 09 -'t Inspection Type: "Q \<-1 A r...Q._ <br />Flow Rate (gpm): pH: Chlorine (ppm Cyanuric Acid (ppm): <br />C) <br />Temp: Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />• Filters <br />• Pumps <br />-1-, c\O \) 0\ o•--4:7‘' T ,P-2 \ C9-4-A-:1 C--.\ '-e-, 0,-- • Chlorinator <br />• Flowmeter <br />( 0•/•.-4r;S r-e_ ‘. •N,2-(2s2,-)..A-b-r) • Gauges <br />M Skimmer & Gutters <br />IN Back Flow Prevention <br />• Main Drain Cover <br />IN Equalizer Line Cover <br />COS*pttoN <br />• Pool Shell <br />• Fencing/Gates <br />• Decking & Coping <br />• Wade Pool - 2 Main Drains <br />S AFETY EQUIPMENT <br />M Rescue Pole <br />• Life Ring <br />• Safety Signs <br />• Lifeguard <br />• Pool/Deck Lighting 0 <br />• Ladders/Hand Rails <br />MI Depth Markers/Tiles <br />• First Aid Kits <br />• Emergency Shut-off Switch <br />RESTfiOOMS <br />M Showers <br />• Toilet & Dressing <br />• Ventilation <br />WATER QUALITY - z- <br />• Chlorine <br />• pH <br />• Cyanuric Acid <br />LI Clarity <br />LI Test Kits <br />MISCELLANEOUS <br />• Supervision & Control <br />• General Sanitation <br />Algae <br />Influent: \ -S <br />Effluent: (-\ <br />Time In: <br /> <br />Received By: Inspected by: <br />Time Out: <br />- <br />Page of f END 36-01 5-8-12 SWIMMING POOL OIR