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SAN JOAQUIN COUNTY <br /> E RONMENTAL HEALTH DEPAR' :NT <br /> 1868 Last Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)468-3877 Web:www.sjgov.org/ehd <br /> P SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility:YXk f)'� OSS n - Date: b 1 ,6- 1 b <br /> Address: S2,? Z 'F-eoj_ 1 v-2� City: Zip Code: q 'S-a <br /> Owner/Operator: 5`n LLC Telephone: q 52- SS-7-7 <br /> Program Element: -j,ko Program Record: S(\O of 1 Inspection Type: J �---Q <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: _^ Reinspection on or atter: <br /> bci -4. \C <br /> CC 0. 2 5� Omer: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&SafetCode Violations and must be corrected as indicated: <br /> ❑ Filters 1 �L G , Q <br /> ❑ PumpsLAI k�4 <br /> ❑ Chlorinator \2,2 C-" ( e- 12.,QQ <br /> ❑ Flowmeter _ <br /> ❑ Gauges <br /> Skimmer&Gutters FJ 6 C <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover F G 2 - O <br /> ❑ Equalizer Line Cover \O, C) ( e - <br /> CONSTRUCTION -- <br /> ❑ Pool Shell E <br /> ❑ Fencing/Gates <br /> ❑ Decking& Coping <br /> ❑ Wade Pool-2 Main Drains W <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole _ <br /> ❑ Life Ring C F \ G-e I <br /> ❑ Safety Signs <br /> ❑ Lifeguard \ c\ <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails 1 <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits —'� ( � ✓1�W� <br /> ❑ Emergency Shut-off Switch <br /> _ REST.ROOMS <br /> ❑ Showers <br /> ❑ Toilet& Dressing ? r' <br /> ❑ Ventilation UU'� <br /> WATER,QUALITY. <br /> 77 Chlorine <br /> E] pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision& Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: 2 1 <br /> Time In: 1 eivpepol�B�y: Inspected by: <br /> Effluent: Time Out: <br /> EHD 36-015-8-12 SWIMMING POOL OR 5\6toi YJihep) Page L of' <br />