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aln., SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />a •;Fo a Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sigov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Re 11 br;'191V -'5 A Date: 15'-/ y/ <br />Address:j. ,/ ICity: Trp t Zip Code: <br />Owner/Operator: ed lb,-;,/ /1,9r AaJ Ci 4;c Telephone: <br />Program Element: 3c, l; /Z Pro ram Record: ,f" -.76-2 L l s:- Inspection Type: jeca l/ <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm):Temp: <br />Reinspection on or after: <br />CGU or /a;.J <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetCode Violations and must be corrected as indicated: <br />❑ Filters <br />o Cr-o•O C r '130 AI <br />Pumps <br />('.2q S 2 r1 -3 r ry <br />Chlorinators <br />Flowmeter <br />I ,mil lleri IGCK <br />1 . <br />(G� <br />-F lio.. I VC, l ✓ <br />EZ Gauges <br />!I <br />c, h t c l< V'^ I vc S Ci A 61 On <br />Skimmer & Gutters <br />Back Flow Prevention <br />I n <br />Main Drain Cover <br />Equalizer Line Cover <br />CONSTRUCTION <br />Pool Shell <br />Fencing/Gates <br />r <br />Decking & Coping <br />1 <br />d, �}- <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />Rescue Pole <br />Life Ring <br />Safety Signs <br />❑ Lifeguard <br />Pool/Deck Lighting <br />Ladders/Hand Rails <br />DepthMarkers/riles <br />!!///, f <br />S H 7T rc- 4• v C6�.2 ,n C h 436 10 r <br />First Aid Kits <br />Emergency Shut-off Switch <br />I I3 y! <br />L' - 16 T -l" I 1 '" C <br />RESTROOMS <br />0 V <br />Showers <br />Toilet & Dressing <br />Ventilation <br />WATER QUALITY <br />❑' Chlorine <br />A <br />4/ n II z f C CC- D.6 C G 3C� <br />pH <br />Cyanuric Acid <br />Clarity <br />dJ i r t cC h lc,- n r u n in n- r •f -7 D <br />Test Kits <br />MISCELLANEOUS <br />/ ) <br />0' Supervision &Control <br />r <br />1: ci re - S /, c C', iI rc r <br />Ej General Sanitation <br />0 ' Algae <br />l;on %'(G; n' if hrkls;.1 -10 jimm. <br />Influent: <br />Effluent: <br />,2 nr 14 c Y. ^ in 2 Woe lei. <br />Rehrt <br />Time In: <br />Receive By: <br />EcL2dcCYj �✓- <br />Inspect d by: <br />���� �i�'-�'�"y� <br />Time out: ' V <br />EHD 36-015-8-12 SWIMMING POOL OR /llug <br />rr Wfi UUoro Page -j—of--L <br />