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Pa In.. SAN JOAQUIN COUNTY <br /> EN'v.. ,ONMENTAL 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 /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: 5 4 tJ o 0 of Date: <br /> Address: I G ra i k L!n 2 City: I y Zip Code: S <br /> Owner/Operator: [Q5 1000 r Telephone: <br /> Program Element: 3611 Program Record: 3 Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> JO 'f 9. 7 rt-d.o 4v( 1, b 0 Other: <br /> 6,0 <br /> RECIRCULATION EQUIPMENTThe marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> /� <br /> Pups O QLr:Id-G as b a4- /m k Pool. I /Ca A <br /> /�T�dw� a <br /> [ Chlorinator o ; ; o 'n R A 'r <br /> Flowmeter <br /> Gauges 1 n 2 j V . ZJhALQ4 <br /> EV Skimmer&Gutters /YI 61 ; n IA ; S eec f <br /> Back Flow Prevention Cy <br /> ET <br /> Main Drain Cover �/ <br /> Equalizer Line CoverIR :n 'We Closed I $ <br /> lVJ Qiyl <br /> Pool Shell <br /> on <br /> t( IerCon oc <br /> le. Cor rfC.1 404w &, rree <br /> Fencing/Gates 5 # 4 M l <br /> Decking&Coping <br /> ❑ Wade Pool-2 Main Drains PSI i r e,m 4(r h O . A f KcJ J <br /> and Goffcl 4od&\ <br /> Eir Rescue Pole 1 . <br /> EV Life Ring fff C � lari 1\0 Gcot r <br /> Safety Signs <br /> ❑ Lifeguard <br /> Pool/Deck Lighting <br /> Ladders/Hand Rails <br /> Depth Markers/Tiles <br /> El -First Aid Kits ' " ro ' j; I V /I 1 n <br /> � to ✓; GC res a r 0 V,*1 U <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS '�`°'' I fi /` -IU e S [7 Orl <br /> ❑ Showers 6r PO C5 tbit G 169 11A r <br /> ❑ Toilet& Dressing <br /> ❑ Ventilation <br /> WATER QUALITY <br /> [� Chlorine <br /> Ea,"pH <br /> ®/'Cyanuric Acid <br /> E3l Clarity <br /> []/Test Kits <br /> Supervision&Control <br /> []1General Sanitation <br /> Igae <br /> Influent: I <br /> L'ime0urt: <br /> ime In: Z ceived By: Inspectedby: <br /> Effluent: a„ <br /> MMM <br /> EHD 36-015-8-12 SWIMMING POOL OR A,ley tO QU Oer Pageof� <br />