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Pa.In. SAN JOAQUIN COUNTY <br />EN IONMENTAL HEALTH DEPARTN _.iqT <br />j 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: <br />f ! r'r4 <br />Date: <br />Address: <br />ead ity: <br />P <br />Zip Code: <br />Owner/Operator: /J G1 <br />/ZZL 77 <br />Telephone: <br />Program Element: ` <br />Program R rd: <br />Inspection Type: /�/✓! <br />Flow Rate (gpm): <br />pH: <br />/ <br />\%/ <br />Chlorine (ppm: <br />,```--((JJ r IFIL - <br />r e� <br />nu,ic cid (ppm): <br />U <br />Temp: <br />Reinspection on or after: <br />Other: <br />❑ <br />Filters <br />The marked violations repre4entHealth <br />TL//,.✓ <br />� linator <br />& Safety <br />Code Violations and must be corrected as indicated: <br />El <br />ri <br />- 0 Qf C/ yck-;%A"] ��GJi Lle a� SCP// <br />ElCh or <br />❑ <br />Flowmeter <br />❑ <br />Gauges <br />❑ Skimmer & Gutters <br />❑ <br />Back Flow Prevention <br />Lu <br />❑ <br />Main Drain Cover <br />VLA <br />❑ Equalizer Line Cover <br />❑ Pool Shellw- <br />❑ <br />Fencing/Gates <br />I <br />!n <br />�' <br />❑ Decking & Coping <br />❑ <br />❑ <br />Wade Pool - 2 Main Drains <br />Rescue Pole <br />( <br />,1 f <br />-- <br />❑ Life Ring <br />❑ <br />Safety Signs <br />❑ <br />Lifeguard <br />❑ Pool/Deck Lighting <br />❑ <br />Ladders/Hand Rails <br />❑ <br />Depth MarkerslTiles <br />❑ First Aid Kits <br />❑ <br />Emergency Shut-off Switch <br />REST.ROOMS <br />❑ Showers <br />❑ <br />Toilet & Dressing <br />❑ <br />Ventilation <br />WATER QUALITY <br />❑ <br />Chlorine <br />❑ pH <br />❑ <br />Cyanuric Acid <br />❑ <br />Clarity <br />❑ Test Kits <br />❑ <br />Supervision & Control <br />❑ General Sanitation <br />❑ <br />Algae <br />Influent: <br />Effluent: <br />Time In: 127 <br />7 <br />Received By: <br />f <br />Inspected by: <br />12Wm (t -q <br />Time Out: <br />EHD 36-01 5-8-12 SWIMMING POOL OIR I Page — of <br />