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7h Oft( <br />Chlorine <br />pH <br />Cyanuric Acid <br />Clarity <br />Test Kits <br />MISCELLANEOUS <br />LI Supervision & Control <br />General Sanitation <br />Algae <br />Influent: <br />Effluent: <br />SAN JOAQUIN COUNTY <br />EN \d 3NMENTAL HEALTH DEPARTM. .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 />Co4 "oire_ <br />Address: Le-3 C 14,1 city da--AA Zip Code: <br />f‘14( Program p a_ 617"A) <br />Cyanuric Acid (ppm): <br />(oP ppm <br />Name of Facility: Date: <br />Owner/Operator: Telephone: <br />Program Element: 3-Aot <br />Flow Rate (gpm): pH Chloinetp <br />o eicc <br />Temp: <br />Other: <br />Inspection Type: ) /at) <br />Reinspectlon on or after: <br />RECIRCU LATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />Filters <br />Pumps <br />Chlorinator <br />LI Flowmeter <br />Gauges <br />Skimmer & Gutters <br />0 Back Flow Prevention <br />Main Drain Cover <br />Equalizer Line Cover <br />'CONSTRUCTIONIEMIK: <br />LI Pool Shell <br />Fencing/Gates <br />Decking & Coping <br />Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />Rescue Pole <br />Life Ring <br />Safety Signs <br />Lifeguard <br />Pool/Deck Lighting <br />Ladders/Hand Rails <br />Depth Markers/Tiles <br />First Aid Kits <br />0 Emergency Shut-off Switch <br />RESTROOMS <br />Showers <br />Toilet & Dressing <br />Ventilation <br />Thu U f ikan) <br />C3) ikocti ylata • )/(.e_ 1-16 <br />1,,e1 r( covvecte d <br />pt-F ti — ') • 't <br /> _nt_e‘o 7t AaddAtie‘ <br />ovz,tiKi act/ tvAt7,- <br />-Thar - fif l air? 1-rn helux) <br />Ou o e 1-0 <br />avid oqiii '114d ei4novi <br />OC/d /I P2-, 61) 1P)) ppnl b_y <br />pal k „ .1-74i h)h,fite <br />oyq rath/v- e eb4-1-fa . <br />pro) h <br />4111(f • <br />Time In: ,2, 3 <br />r Time Out: / <br />EHD 36-01 5-8-12 SWIMMING POOL OIR <br />Received By: Inspected by: <br />Page of <br />'11(