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SAN JOAQUIN COUNTY <br /> 1 ENVIRONMENTAL HEALTH DEPARTMS <br /> y� • 1868 East Hazelton Avenue, Stockton, CA 95203-0232 <br /> Telephone:(209) 468-3420 Fax:(209)468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: M G 1 ( Date: l2 <br /> Address: 52 W 1, IU1rIS city: _QMC* Zip Code: 21O <br /> Owner/Operator: 17,)Gfia e' a n o r-UM i 1 Tr-VST- Telephone: <br /> Program Element: Program Record: RQ G 3e� Inspection Type: F-CM <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&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter f✓ ( X/�/nmou O+e con �e' <br /> E] Gauges <br /> ❑ Skimmer&Gutters Qj(1 Thal 4?, j S 0 LC)C)V-' 611 <br /> ❑ Back Flow Prevention � u t p I Qt �a �,i e la <br /> ❑ Main Drain Cover y"�'' D 1 U'1 /� ,l,-t-�p� <br /> ❑ Equalizer Line Cover C an ,Ci o �Q� (�11(jl/V'�h .eel I t i't.1r1 <br /> CONSTRUCTION yT oO <br /> El Pool Shell 1 U <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping y <br /> ElWade Pool—2 Main Drains 7r 1 X QS '_(�GCA1 q& U,S l b Lie— <br /> SAFETY <br /> i —SAFETY EQUIPMENT" G Ir'CA n a CGI, CM <br /> Ct- <br /> EI Rescue Pole <br /> ❑ Life Ring I S k S C c/rre cA-ed . �L Oq- 4-0i2) -'6A-+6 <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles y ,, p <br /> E] First Aid Kits /I i e e C f VVOW-t 0 n <br /> ❑ Emergency Shut-off Switch S V U") u <br /> RESTROOMS V <br /> ❑ Showers _ <br /> ❑ Toilet& Dressing <br /> ❑ Ventilation <br /> WATERS.QUALITYi'. <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: Received By:, �p HEET!L-1 Effluent: 11 ( \ <br /> Time Out: V <br /> J <br /> EHD 36-015-8-12 SWIMMING POOL OR Page Of_�_ <br />