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SAN JOAQUIN COUNTY <br />ENVi.,ONMENTAL HEALTH DEPARTMLNT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />>rFoa Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: u Q T Su, .) / } Date: G ) 2- IS <br />Address: r s S 0 Id b0r)on City: a i h r= zip Code: C/S 3 3 o <br />Owner/Operator: (,J W A n a r I'l L Telephone: $-,3 2 3 9 <br />Program Element: 34)11,)16 Program Recor 4 Inspection Type: A0I e, <br />Flaw Rat (pm):pH: <br />7 b <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: / D I <br />Reinspection on or after: <br />160 <br />7' r_I <br />fC 0 0 3.4 C(o.i <br />IO 0 <br />Other: <br />RECI RCt)LATION EO0fP. , ,r <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />Filters <br />Poo) <br />Pumps <br />1 rre G h )a r; n e G i Q, d Cor rec /r C/ <br />Chlorinator <br />EY Flowmeter <br />a "^cl )h cr re,C�G�. <br />Gauges <br />$ <br />Skimmer & Gutters <br />Back Flow Prevention <br />I r r e L h ) r q 0. O a r re r jt"O� <br />Main Drain Cover <br />_ri } / !/1Grn re <br />Equalizer Line Cover <br />CONSTRVC-TWW <br />I/ (r/ <br />G 's q; fletrn re Ma,ndaneer <br />❑i- Pool Shell <br />EVFencing/Gates 7- <br />Carred in uJeell- <br />Decking & Coping <br />prer4;6r <br />❑ Wade Pool -2 Main Drains <br />^SAFETY"EOUIPMENT � :: <br />// �f Q <br />S', hs a e 0, rye IGe r`� 'vC/ ) I7� ' <br />Rescue Pole <br />I� e e 11 <br />[tom Life Ring <br />[a--SafetySigns <br />0 reS4rccr+1 aa;/er.{ <br />❑ Lifeguard <br />CGrreG % JooJrl( <br />EE91-Pool/Deck Lighting <br />E Ladders/Hand Rails <br />0 U i <br />Depth Markers/Tiles <br />[� First Aid Kits <br />mergency Shut-off Switch <br />Showers <br />Ej?�Toilet & Dressing <br />Ventilation <br />WATE 4. <br />ED,�Chlorine <br />pH <br />E7,,' Cyanuric Acid <br />2' Clarity <br />[!]/Test Kits <br />Supervision & Control <br />General Sanitation <br />❑ Algae <br />sty p4�/ <br />Influent: I <br />Effluent: � � / <br />Time <br />Rec d <br />Inspected by: <br />Time Out: <br />O <br />l it <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Ll_� Page 1 J__4 <br />