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ip <br />SAN JOAQUIN COUNTY <br />EN ONMENTAL HEALTH DEPARTS 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 />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: d S,SIS(Yl M I, Date: <br />Address: \q01 City: AQP zip Code: a 5 3 s b <br />Owner/Operator: Ye5-R;j\:;z Telephone: "62 q <br />Program Element: Not 11 Program Record: l Inspection Type: <br />Flow Rate (gpm): <br />50 <br />pH: <br />T <br />Chlorine (ppm): <br />C v b <br />C -C 0,C) <br />Cyanuric Acid (ppm): <br />SO <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 />❑ Filters <br />❑ Pumps <br />—C1 FCe <br />S ( a2_� / t S I <br />❑ Chlorinator <br />❑ Flowmeter <br />2 l <br />❑ Gauges <br />cc n <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />— <br />_ <br />-- - <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />Chlorine <br />_❑ <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />` <br />'r S 0c, C l 5 <br />❑ General Sanitation <br />❑ Algae <br />Influent: V6 <br />Q)Effluent: <br />Time In:Received <br />I' �1 <br />By: <br />Inspected by: <br />1L L� ✓l hrn/ e5 <br />Time Out: 2.2 <br />EHD 36-015-e-12 SWIMMING POOL OIR , V Page J, of i <br />