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a�In. SAN JOAQUIN COUNTY <br />' EN\ JNMENTAL HEALTH DEPARTN 'T <br />1868 East Hazelton Avenue, Stockton, CA 9520u-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT C1UG <br />Name of Facility: f FV PC (,'m 01 Date: ®� I <br />Address: 39161i (CA OCA Zip Code: �3i; <br />Owner/Operator: (Gj(1(t Q CC1Y.e,e4) Telephone: 2 <br />Program Element: .3 2 Program Record: tiZ.VJ Inspection Type: V-uk .. (�Q <br />Flow Rate (gpm): <br />PH: <br />Chlorine ( m): <br />2 CL/4 <br />Cyanuric Acid (ppm): <br />Temp: Cj--j "F <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetCode Violations and must be corrected as indicated: <br />Filters <br />Pumps <br />r1 h <br />Nos' Chd d �CJAA b +Z) <br />Chlorinator <br />Flowmeter <br />Gauges <br />(�_�tp� <br />I I, sand 1 i fT`-'� —' 4ou <br />Skimmer & Gutters <br />Back Flow Prevention <br />_ W �yr { <br />l <br />Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />- I <br />5 ((J„!/gXJ I <br />Pool Shell <br />Fencing/Gates <br />2r Decking & Coping <br />❑ Wade Pool — 2 Main Drains <br />,,,-(� <br />M rCh 20I 5Vr C& <br />" SAFETY EQUIPMENT <br />' n <br />.� \ he � hCG 1 <br />(� Rescue ole <br />-- <br />_ _ <br />Life RingP <br />2' Safety Signs <br />❑ Lifeguardrt— <br />❑ Pool/DeckLighting <br />Ladders/Hand Rails <br />CJS 1 1 U <br />Depth Markers/Tiles <br />Ej-- First Aid Kits <br />Emergency Shut-off Switch <br />RESIROOMS <br />Showers <br />Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />ZI Chlorine <br />pH <br />Cyanuric Acid <br />Clarity <br />Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />�I CSV F—' wr„,rIL <br />Influent: 1lr�- <br />Effluent: ' <br />Time In: <br />Received R.y: <br />ected <br />Time Out: 11 <br />EHD36-015-8-12 SWIMMING POOL OR Page A -of ( <br />