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SAN JOAQUIN COUNTY <br /> ENVNMENTAL HEALTH DEPARTN. .T <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> r o <br /> Telephone: (209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Cj/L Date: Le /2-11 <br /> Address: tz�tl� City: Zip Code: <br /> Owner/Operator: 4-- Wee/c 04a/fQ Telephone: g to -a <br /> Program Element: Program Record: Q -3 LP o .zf Inspection Type: <br /> Flow Rate(gpm): pH: Chhj�Jodne(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> 30 Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters _ I C r' I V r n <br /> ❑ Pumps F <br /> ❑ Chlorinator <br /> ❑ Flowmeter ) ( 1 <br /> El Gauges 1 <br /> ❑ Skimmer&Gutters tl 1 r/ <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover 42 <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> S AFETY`EQ U IRMEINT <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 /> 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: ' s <br /> r Time In:/r �/ Reoei ed By: Inspected by: <br /> Effluent: I 1 S� 9#y� <br /> Time Out: /"e <br /> EHD 36-01 5-6-12 SWIMMING POOL OIR Page—of_ <br />