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SAN JOAQUIN COUNTY <br />0 .. <br />y EN\ DNMENTAL HEALTH DEPARTN 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 REPORTC <br />Name of Facility: <br />af LiAl <br />Date: I <br />Address: tGly F <br />City: <br />(' <br />Zip Code: <br />Owner/Operator:Telephone: <br />- <br />Program Element: Program Record: <br />Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />3.5 Fri <br />Cyanuric Acid (ppm): <br />L ;�50 <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECtRCt)LA71i0N' E00ti UENT-=i. <br />The marked violations represent Health & Safety <br />Code Violations and must be corrected as indicated: <br />❑ Filters <br />- <br />`GQ� <br />` <br />k) <br />tr�rc�xv <br />El Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool — 2 Main Drains <br />�.SAFETY�EQUfPMENT "" <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 />❑ Emergency Shut-off Switch <br />-RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />"'. WATER`QUALITY"s <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />MA^01- 94 VA <br />RF <br />Influent: �p Py 1 <br />l <br />Effluent: C ( <br />Ll <br />Time In: e R Cel d By: <br />Time Out: ? <br />I, sp ct7,�e,.�d�7bby':7Z <br />1Yi . L j�tJ a -� 77 <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page —I— Of <br />