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P. In.. SAN JOAQUIN COUNTY <br /> L �= Er" -90NMENTAL HEALTH DEPART` -NT <br /> Nay, S <br /> 1868 est Hazelton Avenue, Stockton, CA 95_.,j=6232 <br /> ' geap Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: MCI-Wo - MA f j W, WW1F arAL Date: -q- 11/0 <br /> Address: W'I\NicjM5 C-� City: 'S (C.Y�7}� Zip Code: �2Qt) <br /> Owner/Operator: V-4&W 0 b l.1nd VCMAIITfusTelephone: 9 25 A9 - 440-3 <br /> Program Element: ?)Aq Program Record: Inspection Type: R-(aliilne <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanudc Acid(ppm): Temp: Reinspection on or after: <br /> Other: �— <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&SafetyCode Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> E] Chlorinator �1e (Aja IS 5�1k1 ` GH1�5 <br /> ❑ Flowmeter `S 'f-r)w� ' O-�- `� a` ec 0V\d <br /> ❑ Gauges +� <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention rualn IQ Obt PS Q1Qa� <br /> ❑ Main Drain Cover �S ` ` <br /> E] Equalizer Line Cover \-4— '1fL ooi \,JY►\\ he (,�21�o\\4ed <br /> -fi !; CONSTRUCT <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 /> NEWNRIVATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> j�j�JMISCELLANEOUS <br /> ❑ Supervision & Control <br /> ❑ General Sanitation <br /> ❑ Algae pp <br /> Influent: `Z p—Acid <br /> Time ln: 12 ; �j r� eei ed By: In p to <br /> Effluent: <br /> Time Out: <br /> i 1 <br /> EHD 36-015-e-12 SWIMMING POOL OIR Page ` of <br />