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Influent: <br />Effluent: <br />or - Les_c <br />fl `111' of' Peren bL/pc-e- .frue_ <br />I 0 --Murk a0 d <br />is I k psi Pr n.160 ,a)-- obs Aprenc_e_ <br />(i -ft/tAird- — Mktirti-) o /0 ps <br />Received By: <br />011,)111 02-4A <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />Inspected by: <br />1-‘c 32 170 7q <br />Time In: <br />Time Out: 1 N 01) <br />RECIRCULATION EQUIPMENT <br />Filters <br />ID Pumps <br />Chlorinator <br />Flowmeter <br />Gauges <br />Skimmer & Gutters <br />ID Back Flow Prevention <br />Main Drain Cover <br />ID Equalizer Line Cover <br />CONSTRUCTION <br />Pool Shell <br />Fencing/Gates <br />Decking & Coping <br />Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />Rescue Pole <br />Life Ring <br />ID Safety Signs <br />Lifeguard <br />ID Pool/Deck Lighting <br />ID Ladders/Hand Rails <br />Depth Markers/Tiles <br />ID First Aid Kits <br />0 Emergency Shut-off Switch <br />RESTROOMS <br />Showers <br />Toilet & Dressing <br />Ventilation <br />WATER QUALITY <br />Chlorine <br />pH <br />Cyanuric Acid <br />Clarity <br />El Test Kits <br />MISCELLANEOUS <br />Supervision & Control <br />General Sanitation <br />Algae <br />Name of Facility: <br />'AN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMEN <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 />te't/ Date: <br />Address: & & 7 - e , <br /> <br />. - Pni Zip Code: <br /> <br />- cty. t---471 ,o/e.---- i gni <br />02 Owner/Operator: n r I cha -:el 8 Telephone: -7 3 g3 i <br />Program Element: 3 it, Program Record: e 22ce e---2,--Lp Inspection Type:- <br />Flow Rate (gpm): <br />5D <br />pH: <br />-.D <br />Chlorine (ppffi): <br />9.01-c <br />0 1- cu <br />Cyanuric Acid (ppm): MI f /hit vl <br />3v pole-- <br />Temp: Reinspection on or after: <br />Other: <br />p <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page of