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ip <br />SAN JOAQUIN COUNTY <br />ENVNMENTAL HEALTH DEPARTME1868 East Hazelton Avenue, Stockton, CA 95205-�?32 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />/ <br />Name of Facility: (, �- A^e 4"Date: L!/y <br />Address: '7) mG.` r -v City: Ll/ Zip Code: <br />Owner/Operator: htf-J/ Telephone: 910 _011;0 <br />Program Element: ILrb,;Program Record: 0 Q� 41 Inspection Type: iu <br />Flow cRa(gpm): <br />S 7 <br />pH: <br />0 <br />Chlorine (: <br />ppme <br />-7, . 0 <br />Cyanuric Acid `(ppm): <br />4D <br />Temp: O�-1 <br />Reinspection on or after: <br />LO` <br />other. <br />REC'tRC ,LATiCN EQq,IF;MENT <br />marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />P (vu cA Hyl <br />❑ Pumps <br />y Y� <br />❑ Chlorinator <br />❑ Flowmeter <br />Lob <br />❑ Gauges <br />!' <br />El Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />S �- <br />❑ Equalizer Line Cover <br />CONST3RUCTtON_`"' '- <br />I <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool -2 Main DrainsSAFETY <br />EQUIPMENT <br />�` Q j2?���� /0 ,�1• <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 />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: 1.0 <br />Effluent: <br />I <br />' <br />Time In: <br />Rec iv d By: <br />Inspected by: <br />S <br />Time Out: r <br />EHD 3601 5-8-12 SWIMMING POOL OIR Page — of <br />