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vin. —1 SAN JOAQUIN COUNTY <br />EM 3NMENTAL HEALTH DEPARTIVT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />aaN Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: 'V Date: "7- j - <br />Address: azl City: mclia, Zip Code: of S33 <br />Owner/Operator: vJ Telephone: 'Z39- Y 33 <br />Program Element: -jb k I Program Record: 3b u Inspection Type: <br />Flow Rate (gpm): <br />pH: r� <br />TJ <br />Chlorine {ppm): <br />r L U <br />c . C o, <br />Cyanuric Acid (ppm): <br />1'0 <br />Temp: J <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 />❑ Fillers <br />cTZ!-yst Kn <br />El PUMPS-CDYom. <br />❑ Chlorinator <br />❑ Ffowmeter <br />t ick a <br />El Gauges <br />l <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 />_ <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />1 C l <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: ,� <br />Effluent: <br />Timeln: 12�-�5 <br />Reciv d B <br />ins acted by: <br />S <br />'-' b _ <br />Time Out: j '. <br />EHD 36-015-8-12 SWIMMING POOL OIR ' <br />Page of j <br />