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ip <br />SAN JOAQUIN COUNTY <br />EN�rjONMENTAL HEALTH DEPARTN,-,JT <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 />y� <br />Name of Facility: � /5 Date: 0,(0.1/c <br />Address: ity: Zip Code: q <br />Owner/Operator: LL. � Telephone: 2-3 — i�f7 <br />Program Element: 3(o12- Program Record:CJ- Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />Chl�ne(npm): <br />�, r�lC`C <br />Cyanuric Acid (ppm): <br />�Cd <br />Temp: ` <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />Cam_ "L <br />C e wv <br />[I Pumps <br />/ <br />t2(i b <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />7 �i <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />, CONSTRUCTION <br />S <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />7tc Am <br />❑ Life Ring <br />❑ Safety Signs <br />�p 0 <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 />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />_ MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />/�� �/�� [- <br />1� uC J'3 Z <br />{ <br />Influent: ) I <br />O <br />Effluent: <br />d <br />(.1/j �I'�P�t�,yr�. I <br />Time In: <br />Received By: <br />n p ted by: <br />/ -03 b3 <br />b <br />Time Out: <br />EHD 36-015-8-12 SWIMMING POOL OIR V Page 4- of <br />