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P Very <br />acs. YE -L p: <br />...1 .... %iOM1� <br />SAN JOAQUIN COUNTY <br />EN _ ONMENTAL HEALTH DEPARTK 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 />"IMMING_POOL O-FFICIAL INSPECTION REPORT,I <br />Name of Facility: W Date: <br />Address: Ci : Zip Code: <br />Owner/Operator: ' Telephone: <br />Program Element: Program Re rd: , 01 4.F Inspection Type: <br />Flow Rate (gpm): <br />V O <br />pH: <br />6 , <br />Chlorine (ppm): <br />O_ 1{roSS trL C <br />Cyanuric Acid (ppm): <br />1c?�an <br />Temp: <br />Reinspection on or after: <br />Other: <br />:RECIRCULATION I EQUIPMENT,. <br />The marked violations re resent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />Vl <br />W <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />'.=„:. :im+'* CONSTRUCTION: <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />UvMWE .msµ <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 />'`':T"".” RE S TRO O M S Y <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />... W WATER!OUALITY,. . w <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />&�- MISCELLANEOUS` W <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Z f; <br />Influent:/ L) �� <br />, <br />Effluent: o FS ( <br />me lm !-r^ <br />, l J <br />Rece ed By: <br />v <br />nspe ted by: <br />Time Out•6: 3 J_ <br />.41 <br />EHD 36-015-8-12 SWIMMING POOL OIR Page —1of /1 <br />