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Aaul , SAN JOAQUIN COUNTY <br /> 'IRONMENTAL HEALTH DEPAP ENT <br /> 1868 cast Hazelton Avenue, Stockton, CA 95e-05-6232 <br /> - 420 Fax: 209 468-3877 Web:www.s ov.or /ehd <br /> u�oRN Telephone:{209) 468 3 { ) fg g <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: QrA& 4v -)L Date: aLl l(a <br /> Address: W ),fn&t City: Zip.Code: <br /> Owner/Operator: Telephone: <br /> Program Element: 3 Lp Program Record: 0 S.2- Sr Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine <br /> (ppm): Cyanuric Acid(ppm): Temp: t 0 Reinspection on or after: <br /> 7 <br /> lx �]r rn I (v r-c- c/ r Other: V 7 f / <br /> r lY 9- CC— <br /> RE C I RC U LATI ON!E QU I P M ENT <br /> C—RECIRCULATION!,EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters ' C <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer& Gutters 'tyxew <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover o� <br /> ❑ Pool Shell nq CA4ae,.� W <br /> ❑ <br /> Fencing/Gates Cli <br /> L/TaA4 L <br /> ❑ Decking&Coping 1 <br /> ❑ Wade Pool—2 Main Drains <br /> r <br /> :';'SAi=ETYdEG1UIPMENT = :�` <br /> ❑ Rescue Pole r <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 /> ESTR0OM5 W s <br /> ❑ Showers <br /> ❑ Toilet& Dressing <br /> ❑ Ventilation <br /> r WATER�0UAL,IT.Y <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> Wry- MISCELL'ANEOUS777-° Egg <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: I S <br /> Time In; D r�7 Received By: Inspected by: <br /> Effluent: 7n <br /> Time Out: V <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page_of <br />