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anauln.. SAN JOAQUIN COUNTY <br />EI iONMENTAL HEALTH DEPART NT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />F <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sigov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: U G i , { <br />Tn n .1 lS CAI '! l' ,S —Cl Date: �/]. <br />Address 6j S <br />p f �G City: L h I r Zip Code: 1 .S3 3 U <br />Owner/Operator: <br />Telephone: <br />Program Element: 36 12 Program Record: SQ 6 10q Inspection Type: N 4; r p <br />Flow Rate (gpm): <br />7 <br />pH: <br />-76 <br />Chlorine (ppm): <br />Q <br />Cyanuric Acid (ppm): <br />[' 3Qother: <br />Temp: I o U • f <br />Reinspection on or after: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetCode Violations and must be corrected as indicated: <br />❑ <br />Filters <br />I C ( �p <br />J ct f5 Gi/`� leariU <br />❑ <br />Pumps <br />2 SIP u h Ci S A l i n <br />❑ Chlorinator <br />❑ <br />Flowmeter <br />) n h <br />❑ <br />Gauges <br />3Q jh Ip OP �G CC S i h y /1 <br />❑ Skimmer & Gutters <br />E] <br />Back Flow Prevention <br />Id P C <br />❑ <br />Main Drain Cover <br />/ <br />l: .�{ �U Pr1 cy A DO LJ '%P i^ <br />❑ Equalizer Line Cover <br />CONSTRUCTION, <br />0 <br />�/ <br />•1; 0'1 i 01 r r � r- v cl { <br />L] Pool Shell <br />❑ <br />Fencing/Gates <br />,j 1 U i cir f k e n y IS: A e e al i 70 b e 0/) <br />❑ <br />❑ <br />Decking & Coping <br />Wade Pool — 2 Main Drains <br />jI 1 <br />'1 hQ iJ U S', d q 0 7 hC q ie. C C f re c •� <br />SAFETY EQUIPMENT <br />i P e I� <br />_❑ <br />❑ <br />Rescue Pole <br />Life Ring <br />6 / rlQ f)'6 /IPJ�r e✓✓l �6AC43 G r, <br />❑ <br />Safety Signs <br />(r e c i4V 0frA <br />❑ <br />Lifeguard <br />❑ Pool/Deck Lighting <br />❑ <br />Ladders/Hand Rails <br />❑ <br />Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ <br />Emergency Shut-off Switch <br />RESTROOMS <br />❑ Showers <br />❑ <br />Toilet & Dressing <br />(fool 109S A Pod Q nUJ s-oeq <br />❑ <br />Ventilation <br />GVe6i W A yj brie S. C hlorin� <br />WATER QUALITY <br />❑ <br />Chlorine <br />for } feW M c h 4 h13 . <br />❑ pH <br />❑ <br />Cyanuric Acid <br />di 4ion$ reCG.dO d. <br />❑ <br />Clarity <br />❑ Test Kits <br />- MISCELLANEOUS':- <br />G J— C he, f LiWn �• zf <br />❑ <br />Supervision & Control <br />C <br />_ <br />❑ General Sanitation <br />❑ <br />Algae <br />Influent: I y <br />O <br />Effluent: ? <br />• <br />Time In: C1. q <br />Received By* <br />(/W� <br />Inspected by: <br />; ( yid. ' K <br />Time Out: J ' Q- I r <br />EHD 36-015-8-12 SWIMMING POOL OIR Page/_of / <br />