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P.�.n SAN JOAQUIN COUNTY <br />1 EN JNMENTAL HEALTH DEPARTN,_ 4T <br />• 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />'r;.. Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: ^ cv-, ' Date: 12)— S -- <br />Address: City: (�('� Zip Code: <br />Owner/Operator: -' Telephone: Sit — Z y <br />Program Element: 2 Program Record: S >t 02, Inspection Type: a - <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />'F -c. I0•5 <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspection on lor after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />y CK J tj� <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />} Q -12 <br />❑ Gauges <br />Gauges <br />Zrd - tJ . : $ -3 <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />q <br />-T\-e--1lp C i. P— l 0. 5 <br />CONSTRUCTION <br />❑ Pool Shell <br />_ <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />�Yw e ino F/ QS2 I ""P - <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />Ur <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />- I <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />I RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />'WATER QUALITY -: <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />_ <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />ENluent:Time <br />Time ln:Re <br />eived B <br />Inspected by: <br />. 4 b 0 3 3 S <br />Out: (�'. 5 <br />EHD 36-015-e-12 SWIMMING POOL OIR^ie\/� P - kY A -4lA Page �of� <br />