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oPs�.in. SAN JOAQUIN COUNTY EN JNMENTAL HEALTH DEPARTN, +T • 1868 East Hazelton Avenue, Stockton, CA -95205-6232 - " Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sigov.org/ehd �FO SWIMMING POOL OFFICIAL INSPECTION REPORT Name of Facility: `��('� — �4v� Date: ,— I S—I Address: 3rJ City: Zip Code: q s 3 Owner/Operator: vs Telephone: Sclq —2010 Program Element: I Program Record: 3b� (1 �— Inspection Type:'—�1.—� Flow Rate�(gpm): rzte)o pH: -- -'_� Chlorine (ppm): F C 2• y C - C. 0.2 Cyanuric Acid (ppm): --1-60 Temp: �• Reinspection on or after: Other: fRECIIRCULATIOWEQUIIPMENTk TK marked violations represent Health & Safety Code Violations and must be corrected as indicated: ❑ Filters f�L ❑ Pumps L QA ❑ Chlorinator�,- ❑ Flowmeter 11-- /�S J v ( Y ❑ Gauges b 2 1z I" - ❑ Skimmer & Gutters ❑ Back Flow Prevention ❑ Main Drain Cover 2 C 5 1 n ❑ Equalizer Line Cover ST R U CT IO NI " -_ 1� C'\y +�� ❑ Pool Shell ❑ Fencing/Gates 1 O\ ❑ Decking & Coping ❑ Wade Pool — 2 Main Drains sSAFETX: E0UIPMENT��t:s€ ❑ Rescue Pole U _SOX A 'r �1 �✓ $� ❑ Life Ring Safety Signs ip ❑ Lifeguard Pool/Deck Lighting 3jV ❑ Ladders/Hand Rails ❑ Depth Markers/Tiles ❑ First Aid Kits ❑ Emergency Shut-off Switch RESTROOMS ❑ Showers Toilet & Dressing ❑ Ventilation �"?Sr;iWATER;QUALILy:�a`""' ' ❑ Chlorine ❑ pH ❑ Cyanuric Acid ❑ Clarity ❑ Test Kits sc«,l ;LxmMISCELLANEOUSW m ❑ Supervision & Control ❑ General Sanitation ❑ Algae Influent: '\1 Effluent: 1p Time ln: AQL Time Out: IO!, Inspected b K �n�re 'I b —0 330 EHD 36-01 5-6-12 SWIMMING POOL OIR / v Page I of )