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o au1n. SAN JOAQUIN COUNTY <br />ENv,RONMENTAL HEALTH DEPARTIvr-NT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />��/Foal <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: /h Date: j <br />Address: 0161 7a City: Zip Code: jq5 ait <br />Owner/Operator: Telepho 1/7'y- <br />Program Element: /.#> Progr m Record: Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />-'7 //�� <br />1 A 02- <br />Chlorine (ppm): <br />v <br />Oro cc <br />Cyanuric Acid (ppm): <br />/ <br />C 3O <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 />i <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <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 />�Ntl�c�1 L'AM��mI�B <br />❑ Supervision & Control <br />❑ General Sanitation <br />E]Algae <br />_ S <br />%�+� ©n <br />Influent: ZS �rJ' I <br />J <br />Effluent: <br />7 <br />ODA <br />Timeln: ��,`� <br />Redelved By: <br />� <br />Inspected by: <br />itl 1171y./i�L.Liz <br />V r 1/ <br />Time Out: / / � `,3C �iftawa <br />EHD 36-017-18-08 SWIMMING POOL OIR <br />