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Psa1n. SAN JOAQUIN COUNTY <br />i <br />EW 3NMENTAL HEALTH DEPARTN T <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />a, Telephone: (209) 468-3420 Fax. (209) 468-3877 Web: www.sjgov.org/ehd <br />WIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility:fiff�1p Date: <br />Address: ICity: Zip Code: <br />Owner/Operator: elephone: 5 — / <br />Program Element: Progra ecord: Inspecti n Type: <br />Flow Rate pm): PR 7r <br />Chlorine <br />lone (p <br />J C <br />Cyanuric (ppm): <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑_ Filters <br />❑ Pumps <br />_& <br />❑ Chlorinator <br />❑ Flowmeter�® <br />/ Vv—, -L �� <br />NQX 0� ?CL/ <br />❑ Gauges <br />- a �f/ <br />(l�A �, 1144 d <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />C �¢ <br />�( <br />❑ Main Drain Cover <br />not <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />CAM3 <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />6 a� <br />❑ Rescue Pole <br />_ <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />7� 6 /. /3 <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />-RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATERQUALITY <br />❑ Chlorine <br />El pH <br />❑ Cyanuric Acid <br />'L *-�,OL 'L!(M WLZC 4Z/02.6 <br />❑ Clarity <br />�/� rg !/ <br />U/X.(� �v' -to —0339 <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: I jv' I <br />Effluent: I'�j t <br />l a V- 7- <br />Time In: O <br />Receiv d By:Ilep <br />ted by: <br />3 34 <br />Time Out: '�� (� 5 <br />EHD 36-015-8-12 SWIMMING POOL OIR Page A - of <br />