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SAN JOAQUIN COUNTY <br /> y ENVIRONMENTAL HEALTH DEPARTNIr-NT <br /> H <br /> .• ,, 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> `4�;••oR��" Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: 16L'61 . C- Date: <br /> Address: 7 u PCity: Zip Code: <br /> Owner/Operator: Telephone: S`f — tf?j f rp <br /> Program Element: (p)I .3[;t <br /> Program Record: ! V 3(�d(e'� Inspection Type: <br /> Flow Rate(gpm): H: Chlorine(ppm): Cyanuric Acid(ppm): Temp: C� Reinspection on or after: <br /> P�v - 5 Pry) / L <br /> 2 FC S.0 1 Other: <br /> SL_� <br /> RECIRCULATION EQUIPMENT The marked violations represent Health& Safety Code Violations and must-bp corrected as indicated: <br /> ❑ Filters h C( r <br /> 7l/l <br /> ElPumps l �ti�r LCLl Gh <br /> ❑ Chlorinator KIA <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters ) <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover -- ' <br /> ❑ Equalizer Line Cover v �` <br /> CONSTRUCTION <br /> ❑ Pool Shell C t V L e <br /> ❑ Fencing/Gates / a f 1�2 G llDvt <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2 Main Drains 1061 11MAI 01-r Q V �= <br /> SAFETY EQUIPMENT S <br /> ❑ Rescue Pole <br /> ❑ Life Ring r t t/✓ tj 41,71 a.0j L Pole It't 47 <br /> ❑ Safety Signs yc� {'L✓fru <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting ojv\ Co PL <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 <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: / S C/ // /��' -� �j~Jh�G �d� TG��1��6h�'cf f �GY✓Y°(.T <br /> Time In: t rRece' By: Inspected by: <br /> Effluent: Time Out: <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page_of <br />