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�.�,n. SAN JOAQUIN COUNTY <br />ENS,,,<ONMENTAL HEALTH DEPARTMcNT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />"' JF.:: N' Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: a( r }, wes <br />Date: — — <br />Address: 1 <br />City: ice(- <br />Zip Code: <br />n <br />Owner/Operator: A�/iZ <br />� <br />Telephone: <br />Program Element: rte/ Program Record: JIR 3& Cl <br />Inspection Type: <br />- <br />Flow Rate (gpm): <br />p <br />Chlorine (ppm): <br />R <br />Cyanuri Acid (ppm): <br />too f <br />Temp: <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 />O <br />ze"Z- <br />` <br />Chlorinator <br />Flowmeter <br />Flowmeter <br />Gauges <br />C /Q �iTn <br />1 <br />®/HI 4(,e <br />Skimmer & Gutters <br />❑ Back Flow Prevention <br />SD wel7r 115 /Hp s- <br />l-00 de- <br />! 7L G <br />Main Drain Cover <br />— <br />Equalizer Line Covert <br />CONS TRU CTION.._ <br />Pool Shell <br />Fencing/Gates— <br />Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />_ SAFETY. EQUIPMENT <br />El Rescue Pole <br />Life Ring <br />CY 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 />-- <br />Showers <br />0 Toilet & Dressing <br />- - -- <br />[x 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: 157 <br />Effluent: / <br />D / <br />Time In: �: �,t�fr� <br />R i v e d ,g y <br />() <br />I n c <br />d by: <br />Time Out:3 :`4� <br />v <br />EHD 36-01 5-8-12 SWIMMING POOL OR Page _ of <br />