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e - ct i-471.1 Date: 7 _ 2_ Name of Facility: <br />Re i*v\P-ec-t- <br />r 0 <br />..•••••" <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />- • c• <br />P 4 t_le_i tL:c._ -7. 2-- . 0 <br />0 ,44\ Se <br /> I <br />Pt-) —7.CD <br />r 4 r...3C,t-sts <br />fr\c p /71. —/-L, 7. 2_ - c,‘ <br />c c c tort fr-L5L-- L901-%-1- I a Per-A'N <br />0 S ecN- - (f ffrio-r4-rAr" 10 Icc <br />K1 0 r-fl, too 0 / <br />bi-,: Itt • <br />dk t3r:r . <br />-41 <br />Qt9c-f'k Spc. <br />Recei ed By: -- 3 3(3 <br />Time Out: <br />Inspected by: <br />11J <br />Time In: <br />RECIRCULATION EQUIPMENT <br />El Filters <br />111 Pumps <br />LI Chlorinator <br />LI Flowmeter <br />El Gauges <br />Skimmer & Gutters <br />LI Back Flow Prevention <br />El Main Drain Cover <br />El Equalizer Line Cover <br />CONSTRUCTION <br />El Pool Shell <br />CI Fencing/Gates <br />111 Decking & Coping <br />111 Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />El Rescue Pole <br />[1] Life Ring <br />E] Safety Signs <br />CI Lifeguard <br />Pool/Deck Lighting <br />Ladders/Hand Rails <br />El Depth Markers/Tiles <br />First Aid Kits <br />EI Emergency Shut-off Switch <br />RESTROOMS <br />111 Showers <br />El Toilet & Dressing <br />LI Ventilation <br />WATER QUALITY <br />LI Chlorine <br />LI pH <br />111 Cyanuric Acid <br />III Clarity <br />111 Test Kits <br />MISCELLANEOUS <br />El Supervision & Control <br />El General Sanitation <br />1=1 Algae <br />Influent: <br />Effluent: <br />__ - • - ,...- . <br />Address: d=6.6 3.-- A-lokr,,-t.oc-5 D17 City: -(--c-ei Zip Code:c----/ c-- z / 9 <br />Owner/Operator:ik.it G (Ajcf,--f--. (-,G. e_s 1,1_ S,'7,,i-,Gt..,----4... . A P./LS Lip Telephone: , <br />Program Element: -3 6 / t / 1 ? Program Record: 03‘ 0 2 cg 4e / 2 S 3/ 2..V.S7/31pection Type: <br />Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp: Reinspection on or after: <br />'2..... Li_.)-e-e fr-S Other: <br /> <br />'C:c) <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <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 /> <br />tg*i <br />414*;* <br />..... <br />EHD 36-01 5-8-12 SWIMMING POOL OIR <br /> Page of