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vin. SAN JOAQUIN COUNTY <br /> EN\ )NMENTAL HEALTH DEPARTM T <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> l/FO <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: U S� h I n Date: <br /> Address: (J V R,4 (ZU City: StMAL- ct) Zip Code: cj <br /> Owner/Operator: G}n \-412S IF Telephone: U J— <br /> Program Element: I(O Program Record: (y 'yaGC� �'� Inspection Type: V' qDS UtiCm <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&SafetyCode Violations and must be corrected as indicated: <br /> ❑ Filters _ <br /> ❑ Pumps <br /> ❑ Chlorinator 1 t)t\S (fy'Q jea (NU <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&GuttersI 111 rl� aV i1 ISL . �iLF2 din cp <br /> El Back Flow Prevention A" <br /> Pp I (�Q� f mu S� <br /> E] Main Drain Cover � ^T^`- <br /> ❑ Equalizer Line Cover or) S W 1 tan 6' C) <br /> CONSTRUCTION <br /> ❑ Pool Shell r h �( cuV�e L+ Cj <br /> ❑ Fencing/Gates Li-Q n 4e, to(-) S�)Uf+ . <br /> ❑ Decking&Coping l Ike l}� <br /> ❑ Wade Pool-2 Main Drains G 1 1 S �a�� I'� 1c Wlu" <br /> SAFETY EQUIPMENT of VQ01 <br /> _E] Rescue Pole AA (' <br /> E] Life <br /> Life Ring C) I uqtS ahU GrI s C (Q wQR�tll <br /> ❑ Safety Signs .1-S Q Jk be )oLQd \N) <br /> ❑ Lifeguard <br /> ❑ PooVDeck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> -` REST.ROOMS - <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: <br /> Time In: Li ; ''� R ived y: spected byAA: nn <br /> Effluent: I n , <br /> Time Out: u <br /> EHD 38-01 5-8-12 SWIMMING POOL OIR Page of <br />