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ip <br />SAN .JOAQUIN COUNTY <br />En' ,oNMENTAL HEALTH DEPARTJT <br />1868 East Hazelton Avenue, Stockton, CA 952t,j-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3677 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: , "'34N Date: —7—ZLo—lkn <br />Address: 1 City: Zip Code: S 3 <br />Owner/Operator: L Telephone: <br />Program Element: 3 (( Program Record: ?j 2,2) 9 Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />0 <br />c . c 0.0 <br />Cyanuric Acid (ppm): <br />C 2�7o <br />Reinspection on or afte r: <br />FTep: <br />er: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetCode Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />l <br />❑ Gauges <br />Z <br />Skimmer & Gutters �44 <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />5 <br />❑ Pool Shell <br />❑ Fencing/Gates <br />Decking & Coping <br />❑ Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Pole <br />_Rescue <br />❑ Life Ring <br />❑ Safety Signs cL, 6C -O <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 />-. MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: I I <br />Effluent:r <br />N <br />, y. <br />Time In: Z 3Is <br />c <br />i�ed By: ( <br />, <br />Inspected by: <br />K l VNboc('eS <br />`1b8-0330 <br />Time Out: S <br />EHD36-015-6-12 SWIMMING POOL OIR \ r Page I of <br />