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ip <br />SAN JOAQUIN COUNTY <br />ENVIr(ONMENTAL HEALTH DEPARTMuNT <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.So -} P Date' / / Z <br />Address: lqo ,,ym-i City: cri, Zip Code: 3 <br />Owner/Operator: jv9f 4-apiram-1Telephone: O Z 3 - t/ 9/ Z <br />Program Element: <br />Program Record: jJ Z Inspection Type: n� <br />Flow Rate (gpm): <br />8 0 <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Q <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />ff Filters <br />Er Pumps <br />a Chlorinator <br />Flowmeter <br />[} Gauges <br />[a' Skimmer & Gutters <br />❑ Back Flow Prevention <br />Er Main Drain Cover <br />Er Equalizer Line Cover <br />CONSTRUCTIONS--: �= <br />Er Pool Shell <br />[r] Fencing/Gates <br />Q Decking & Coping <br />❑ Wade Pool - 2 Main Drains FJ <br />_ SAFETY_ EQUIPMENT <br />F Rescue Pole <br />ET Life Ring <br />Safety Signs <br />❑ Lifeguard r o <br />Pool/Deck Lighting <br />Ladders/Hand Rails <br />E- Depth Markers/Tiles <br />ET First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />0 Showers <br />[� Toilet & Dressing <br />E� Ventilation <br />WATER QUALITY <br />[a" Chlorine <br />E9 pH <br />- <br />[� Cyanuric Acid <br />[� Clarity <br />[� Test Kits <br />MISCELLANEOUS <br />❑ Supervision Cl <br />ate[. - <br />❑ Generl an <br />❑ Algae- <br />1 5 kio r <br />Influent: a 3 est <br />r <br />Effluent: 1 � �S I <br />Time In: S��y/ <br />_ <br />Received By: <br />Ins ec ed by: <br />r <br />Time Out: 2�j <br />EHD 36-01 5-8-12 SWIMMING POOL OIR <br />FA <br />Page —of -4 <br />