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q�l SAN JOAQUIN COUNTY <br />,ate �o <br />ENV' )NMENTAL HEALTH DEPARTM- T <br />1868 Eabc Hazelton Avenue, Stockton, CA 95205.0232 <br />Telephone: 209 468-3420 Fax: 209 468-3877 Web. www.s ov.or /ehd <br />P � ) i ) 19 9 <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: &' &4 <br />(G M �W <br />Date:1-71f 16 <br />Address: 3q I G _ <br />,ej1 (Lk city: M (,({ vw (-Ck <br />Zip Code: cJ �j�o <br />Owner/Operator: CaTl(l <br />0 Co � e LL L <br />Telephone: <br />Program Element: Z Program Record: RGA 15 0 25 <br />Inspection Type: � <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />_ \t • 4- I%L <br />Cyanuric Acid (ppm): <br />Temp: < F <br />Reinspection on or atter: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetCode Violations and must be corrected as indicated: <br />❑ <br />Filters <br />❑ <br />Pumps <br />-rte <br />v- . e� Cp(J+Zpoe <br />uxo q -F <br />❑ Chlorinator <br />❑ <br />Flowmeter11 <br />M <br />1 3 6, 10 U M <br />❑ <br />Gauges <br />j DdA <br />❑ Skimmer & Gutters <br />❑ <br />Mack Flow Prevention <br />Q w (11 �,A1_` 1 N <br />OOWA linT�t 1 <br />E] <br />Main Drain Cover <br />c er-cKd ns e Cficcjrj <br />S doff z <br />❑ Equalizer Line Cover <br />'CONSTRUCTION <br />❑ Pool Shell <br />❑ <br />_ Fencing/Gates <br />�jr <br />I (. `S 30 <br />N V (J M - <br />❑ <br />❑ <br />Decking & Coping <br />Wade Pool - 2 Main Drains <br />h� �(�Ft_, �( 1U0 A <br />f1 J 1, I (.A'" r� <br />''. <br />SAFETY EQUIPMENT <br />❑ <br />El <br />❑ <br />Rescue Pole <br />Life Ring <br />Safety Signs <br />c5 `S CMA - MT a(e S7 <br />\ Qe <br />❑ <br />Lifeguard <br />❑ Pool/Deck Lighting <br />❑ <br />Ladders/Hand Rails <br />❑ <br />Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ <br />Emergency Shut-off Switch <br />RESTROOMS <br />❑ Showers <br />❑ <br />Toilet & Dressing <br />❑ <br />Ventilation <br />WATER QUALITY <br />❑ <br />Chlorine <br />❑ pH <br />❑ <br />Cyanuric Acid <br />❑ <br />Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ <br />Supervision & Control <br />❑ General Sanitation <br />❑ <br />Algae <br />Influent:` <br />Effluent: <br />Time In: Received <br />Time Out: O ( <br />I acted b <br />EHD 36-015-8-12 SWIMMING POOL OIR Page r of� <br />