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o,q , SAN rJOAQUIN COUNTY _ <br /> EN .RONMENTAL HEALTH DEPART, -NT <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 /> Name of Facility: '_� _ S [.� L e,(CQs � / e'� � G C Date: g—Z Z-1 <br /> Address: "Z 'L,J, L City: F-T'a7v� Zip Code: 20 <br /> Owner/Operator: A>0 r4-5 G lU Telephone: <br /> Program Element: t (ter 2--P—rogram Record: pip I t t 3 46 2�1Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(p m): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> L CM . L �t�c vcc <br /> t 36 they: <br /> RECIRCULATION EQUIPMENT. The marked violations represent Health &Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges �/ 2r- ls-V2� {� .�r Io4 <br /> ❑ Skimmer&Gutters 2 T1\-0— aow �,�Q r' (s s•'�'L�C�., "-Q�-x�.r �c�r+�¢�c✓'+ <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover 4,;' )0 ;a '&' CCA-e— r� l vw <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION yf <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates ,.��� q,�fvl r VK Ir� <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT �' (✓�2,�:f- SSS ,.,,i �� �r.VV c�}?J <br /> ❑ Rescue Pole <br /> ❑ Life Ring d kA <br /> ❑ Safety Signs ( u 4�l2 o c4.1-0- Z 4'0r I N <br /> ❑ Lifeguard ,. <br /> E] Pool/Deck Lighting ct (<e S F Z t 5 i n S�a�l e- a nd wof l V% <br /> ❑ Ladders/Hand Rails r I <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits 2 <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 /> r n &V<- o F vu <br /> Influent: 24 r 2 O <br /> 2.(- <br /> /� Timeln: Z: y 'Re d B Inspected by: <br /> Effluent: til Time Out: A)m�c : j <br /> EHD 3&01 5-8-12 SWIMMING POOL OR Page_of <br />