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1� <br />• OpgU.lry C , SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •C9[�F.O-�`aJY Telephone:(209) 468-3420 Fax: (209)468-3877 Web:www.sigov.org/ehd <br /> -Wi -Mi-N-G—P-O-O-L—O-F-Fi-C I A L—I iV-�P-E C—T-I-6 N—R-E-P-O R-T <br /> Name of Facility: Date: ,��.,� /•� <br /> Address: 30 3 „g City: c1j Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element�� ��2- Program Record:"2)6 U 4-2 Inspection Type: - <br /> F w Rate g�m� pH_: t hl rine(ppm): I. C anuric Acid(pp Temp: /D / �•/ Reinspection on or after: <br /> ^'t Q�'+-f' l�Yf'L" 3.Jr� /(J.vW'c (� other (7 r <br /> RECIRCULATION EQUIPMEN ,The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps v� e <br /> ❑ Chlorinator Gt�C� '�.t •�^��+r� "` <br /> ❑ Flowmeter — <br /> ❑ Gauges vw <br /> ❑ Skimmer i Gutters <br /> Back Flow Prevention �� <br /> El Main Drain Cover _ <br /> ❑ Equalizer Line Cover L <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates 3-° t,ky�64 <br /> ❑ Decking&Coping _ <br /> ❑ Wade Pool—2 Main Drains <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring C - S <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting _ <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles V <br /> J <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch / 6(_ <br /> RESTROOMS V. <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation ,./r',",,, � o <br /> :WATER QUALITY Q ffv (/L'-•( U" A/✓� OL fit- -�- cxce 4' vv <br /> ❑ Chlorine <br /> ❑ Cyanuric Acid sGj �j/yr{��y`�p�tss�p <br /> ❑ Clarity <br /> ❑ Test Kits �j �•�P�'� <br /> MISCELLANEOUS <br /> ❑ Supervision &Control <br /> ❑ General Sanitation <br /> ❑ AI a ti <br /> Influent:')L2/ ,0 a <br /> Time In: <br /> Rec ived B Ins ted by: <br /> Effluent: /Q Time Out: .� -�•C <br /> EHD 36-01 5-8-12 SWIMMING POOL OR Page of <br />