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SAN JOAQUIN COUNTY <br />EN \0 DNIMENTAL HEALTH DEPARTIVI ,T <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:C- N 0 On+- Date: -1-- ('W ( 4 <br />Address: 1 4 -• 44 \N • -tin ç. k.a...,..1 city: .,i-ccx_ Ton Zip Code: 61 s2_cpoi <br />Owner/Operator: S A , f. on c...;, s vi ,_-_,,c,v-0-- Telephone: (001- - 31C0 <br />Program Element: 5(012_ Program Record: 1)9. 95(519-6\ Inspection Type: Ai ---j ç€ <br />Flow Rate (gpm): pH: Chlorine (ppm): <br />0.1 C4- <br />Cyanuric Acid (ppm): 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 />El Filters <br />2/' Pumps <br />.p1-01 at cv tis -1- . 2._--1--et <br />Flowmeter <br /> K Chlorinator <br />. Gauges <br />[1 Skimmer & Gutters <br />11 Back Flow Prevention <br />0 Main Drain Cover <br />LI Equalizer Line Cover <br />CONSTRUCTION <br />Pool Shell <br />Fencing/Gates <br />LI Decking & Coping <br />Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />,121 Rescue Pole <br />Er Life Ring <br />Er Safety Signs <br />• Lifeguard <br />t2 Pool/Deck Lighting <br />:1- Ladders/Hand Rails <br />Depth Markers/Tiles <br />D First Aid Kits <br />E Emergency Shut-off Switch <br />RESTROOMS <br />M Showers <br />II Toilet & Dressing <br />LI Ventilation <br />WATER QUALITY <br />a Chlorine --V-::1H <br />Cyanuric Acid <br />6 Clarity <br />-t Test Kits <br />MISCELLANEOUS <br />• Supervision & Control <br />General Sanitation <br />f aCii VIA- nospi CT\ a UC kld LI Algae <br />Influent: 4_ <br />Effluent:Z-' <br />Oho-Ina 061- 40) - 3144C7 <br /> <br />Time In q <br /> <br />: .4 06 Receiv d By: <br />r <br />set d 4@SM <br />Time Out: \ d ; 41 /1 1 • <br />36-01 5-8-12 SWIMMING POOL OR Page \ of