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litirdeariii <br />SAN JOAQUIN COUNTY <br />E IRONMENTAL HEALTH DEPAR. INT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sigov.orgiehd <br />SWIMMING POOL OFFICIAL INSPECTION REP OR <br />Name of Facility: 7)1 0 le, 1 (, 4V2 7 Date: y. 3 - /4 <br />Address: 3'?'! 0 A) -Thoc y City: !roc/ Zip Code: 9s-3 7,6 <br />Owner/Operator: C 67 1.1 osp •IA6 (.1-1 Proper*/ L.LC- Telephone: <br />Program Element: C 11 Program Record: 3 c, 00 a Y Inspection Type: R e ul )e <br />Flow Rate (gpm): <br />1 2 I) <br />pH: <br />C <br />Chlorine (ppm): <br />Fc;0.0 cc-0.0 <br />Cyanuric Acid (ppm): <br />'),-, (4 6 <br />Temp: Reinspection on or after: <br />Other: <br />- The marked violations represent Health & Safety Code Violations and must be corrected as indicated: ..- III Filters <br />D 11 9 € C h /or al ( a .1 GI . 0 ry, i_, , y rt . • Pumps <br />added I I) I C h for A i 1 0 'allot, M Chlorinator <br />M Flowmeter <br />COrreci , • Gauges <br />0 Pray( ole .4- s;11,. LJ, in a c. I . I • Skimmer & Gutters <br />III Back Flow Prevention <br />A ddrP 5 S Covtoci idelay • Main Drain Cover <br />• Equalizer Line Cover <br />, <br />• Pool Shell <br />II Fencing/Gates <br />• Decking & Coping <br />II Wade Pool - 2 Main Drains <br />.. <br />III Rescue Pole <br />M Life Ring _ <br />E Safety Signs <br />• Lifeguard <br />M Pool/Deck Lighting <br />M Ladders/Hand Rails <br />M Depth Markers/Tiles <br />• First Aid Kits <br />Emergency Shut-off Switch <br />00 ES7fi , <br />• Showers <br />• Toilet & Dressing <br />• Ventilation <br />• Chlorine -- <br />4 • pH 1-61c.1.1-y ro-siAriaced 11-e pcc/ ap4 <br />p,..1 fih) (01 ((7I pi. or lc. II or/ Se a Jo 'l • II Cyanuric Acid <br />M Clarity <br />. Test Kits <br />• Supervision & Control <br />• General Sanitation <br />56x" (i i 4-6 c/z)s 2 1,3'1 cz y Yy (c,p5 121, • Algae <br />Influent: i <br />Effluent: <br />)_ <br />C I <br />Timeln: 0 f--1, Received By: Inspec ed by: <br />Time Out: 1 k <br />EHD 36-01 5-8-12 SWIMMING POOL OIR <br /> Page / off