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SAN JOAQUIN COUNTY r <br /> ENVIrCONMENTAL HEALTH DEPARTM� dT 61 13 <br /> N: I S III <br /> • 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209) 4A68-3877c;W,geb�:www.sjgovgorg/ehd <br /> SWIMMING POOL OFFICIALgNSP �`CTI REPORT <br /> Name of Facility: Date: <br /> Address: city: 54o /7 Zip Code: 5a00 <br /> Owner/Operator: ct r '--;? S Telephone: Ll-12 - <br /> Program Element: I Program Record: 0 R d (D Zj'-3 10 Inspection Type: ' h <br /> Flow Rate(gpm): pH: Chlorine(ppm) <br /> Cyanuric/ oAcid(ppm): Temp: Reinspection on or after: <br /> L-1cv d-n c, 6V Other: <br /> RECIRCULATION EQUIPMENT The marked violations re resent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters 2� O o <br /> ❑ Pumps i- <br /> ❑ Chlorinat <br /> ❑ Flowmeter <br /> El Gauges `' <br /> ❑ Skimmer&Gutters r ' 6 <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover ��' <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION r O n Q <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates S 0 C.0 <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains �3 <br /> SAFETY EQUIPMEN <br /> ❑ Rescue Pole d I <br /> E] Life Ring /'(- <br /> ❑ Safety Sign rL U <br /> ❑ Lifeguard t <br /> ❑ Pool/Deck Lighting /. I <br /> ❑ Ladders/Hand Rail Z. <br /> O W(� <br /> ❑ Depth Markers/Til 'A <br /> ❑ First Aid Kits y <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS .,. <br /> ❑ Showers C a ( 1 l &9 14.q_- 60 <br /> E] Toilet&Dressing <br /> ❑ Ventilation <br /> WATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH c <br /> ❑ Cyanuric Acid G I <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS Aj <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> RIn: <br /> l ; <br /> Influent: <br /> J � rye ns a ted by: <br /> Effluent: 0 Li i ^ X/v I <br /> EHD 36-01 5-8--12 SWIMMING POOL ORPagel -"f4 <br />