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Pauln., SAN JOAQUIN COUNTY <br /> ENS )NMENTAL HEALTH DEPARTN, 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: p / ey Date: T-9-6— <br /> Address: 70ewy/.l/ t,,oCity: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: CC Program Record: '3b 03 0 Inspection Type: 4ece lq UI S <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 _ r <br /> El PUMPS <br /> E] Chlorinator K k 0% S q e & <br /> ❑ Flowmeterovk 14/ / � o <br /> ❑ Gauges �l�I�,+( <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover � �. fA6S16 be Iu4l'm' <br /> CONSTRUCTION <br /> ❑ Pool Shell '✓ (a-' '-4 <br /> ❑ Fencing/Gates r +S Z O(7T[D�11 <br /> ❑ Decking& Coping ^ <br /> ❑ Wade Pool-2 Main Drains D(�•r., pD-�' a <br /> SAFETY EQUIPMENT LO , N L -tt <br /> ❑ Rescue Pole n 1 <br /> E] Life Ring ir&"ov -20-,d&V—S c0wt--'> - 9p2u_t A <br /> ❑ Safety Signs a (�Cx�7lM fx <br /> ❑ Lifeguard 1 <br /> ❑ Pool/Deck Lighting 9A4W"• it/ Si, c-tJ� . <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles p LL <br /> [:] First Aid Kits Y� V G( �Q/'F11�'7°CC� ' 14'-r, ?I S <br /> ❑ Emergency Shut-off Switch / ne <br /> RESTROOMS 177 Q' <br /> ❑ Showers js '(ZS $Wr <br /> ❑ Toilet& Dressing �li'fA •d( Wrk (.(�,.o i; t'd <br /> E] Ventilation f c <br /> WATER QUALITY w4c'( ' <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: e B Inspected by: <br /> Effluent: <br /> Time Out: <br /> EHD 36-015-8-12 SWIMMING POOL OR Page_of <br />