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Time In: ' <br />Time Out: <br />e <br />SAN JOAQUIN COUNTY <br />ENVIFY IMENTAL HEALTH DEPARTME' <br />1868 East FazeIton Avenue, Stockton, CA 95205-e32 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT, <br /> <br />, I <br />Name of Facility: i 1/0Xj/Zi itYlit / Date: 7 / / 9 / 2_4 ) <br />Address: 6: es- aif /.., City: Zip Code: <br />Owner/Operator: 1///1/ .0 ? Telephone: 147 -F 1 't19 <br />Program Element: 3 i Program Record: 0 0 0ç 74 Inspection Type: (PH: Flow Rate (gpm): 7 , 7. I <br />Chlorine (ppm): <br />, <br />Cyanuric Acid (ppm): <br />Lit <br />Temp: Reinspection on or after: <br />ape VAIVY - 7'72 <br />Citit Other: <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: RE ctitAllam UIPTOE <br />111 Filters <br />El Pumps <br />El Chlorinator <br />El Flowmeter <br />El Gauges <br />El Skimmer & Gutters <br />El Back Flow Prevention <br />El Main Drain Cover <br />El Equalizer Line Cover <br />El Pool Shell <br />El Fencing/Gates <br />El Decking & Coping <br />El Wade Pool - 2 Main Drains <br />QUIPMAN <br />El Rescue Pole <br />El Life Ring <br />El Safety Signs <br />El Lifeguard <br />El Pool/Deck Lighting <br />El Ladders/Hand Rails <br />111 Depth Markers/Tiles <br />El First Aid Kits <br />El Emergency Shut-off Switch <br />"IlEsTR()0ms <br />El Showers <br />El Toilet & Dressing <br />El Ventilation <br />U A LIT <br />El Chlorine <br />pH <br />El Cyanuric Acid <br />l Clarity <br />El Test Kits <br />ANEOUS <br />l Supervision & Control <br />D General Sanitation <br />El Algae <br />Influent: <br />Effluent: <br />(1) A 01(47 On, /k1 <br />paw() chilymi Iv <br />/. W/Ae <br />- /14pri <br />I'Ukk 1j /6/a71 rkt-(. <br />p h 1\iryln-Lei LiP4)400 wi-er-• <br />r4-1,),"Ift( <br />-Pt/nA)yvttl-tv <br />51)a t y )) P4rl4oL6 , <br /> <br />0 12 seriAti 070 iep- N./ant/414e <br />tiR 0-11/7J0 Pf le . <br />G-144=a-a- .01J --'r-Ovr---0-1444424194e.cri <br /> 11-01- <br />)(--X P-Ov/ Service . <br />adaea PM' ill-1/0 Al" L),DFC afr,A <br /> <br />447 rtienAA n O(4- <br />dtarrhaA, ct6 <br />diVea <br />Dv eliAtide oaf Sipo-te - PYViat. <br />Inspected by: ° <br />SA- 04/Yvvvi--1/1. <br />NR" Nt14) SITemit <br />"RIP ClOW efma a <br />of <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page of