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o� N SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> .• - 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> °4 •.`.:•• �° Telephone: (209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: {v 1 G /T o71 -f GG( L( f Date: /, <br /> Address: t C C , 16 City: Zip Code: <br /> Owner/Operator: t z j" I `-, / 6 i'7 j J L{ , tc Telephone: <br /> Program Element: b Program Record: ` / Inspection Type: j ? li/.(i <br /> Flow Rate(gpm): pH: line( m): Cy nuns id(p ): 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 /> ❑ Filters <br /> ❑ Pumps _ <br /> ❑ Chlorinator /7 <- ' <br /> ❑ Flowmeter _ I q 62 (� <br /> ❑ Gauges f <br /> ❑ Skimmer&Gutters l , ' '� rt {r� i,-7 <21 <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover , art- �(/ ( ( I 1" ,(, b{ L if fl <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates . �t C/ 11 (f , k 1 <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2 Main Drains I I RC k'10 f�r -A -( <br /> SAFETY EQUIPMENT t I�`-( ''T Y" ( v ' c ' <br /> ❑ Rescue Pole <br /> ❑ Life Ring '' ` It <br /> ( 1 <br /> �;�:El Safety Signs �/l.{'�1j/t` J /1 f <br /> ❑ Lifeguard CT <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markerslfiles <br /> ❑ First Aid Kits <br /> ❑ 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 /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision &Control _C%f <br /> El General Sanitation f <br /> ❑ Algae i !)G� /7�(/ !%tF (L <br /> Influent: <br /> Time In: R ei ed By: Ins ectedby: <br /> Effluent: Ti ✓"TimeOut: <br /> EHD 36-01 5-8-12 SWIMMING POOL OR Page of <br />