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P.uln. SAN JOAQUIN COUNTY % <br />E(oRONMENTAL HEALTH DEPAR- ENT <br />»� < <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />aka <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: r q nV l 1 9 } j Date: • 1 9 - <br />Address: <br />r G city: I r A C Zip Code: S; ;7 6 <br />Owner/Operator: 3C. /V) VQ r I N C r S L L(' Telephone: 3 S_ J 4 <br />Program Element: 3 6 I I Program Record: 3 6 O36 S Inspection Type: GUt .I i^ y <br />Flow Rate (gpm): <br />A- C () <br />pH: <br />72 <br />Chlorine (ppm): <br />Fc -a& CC -GV <br />Cyanuric Acid (ppm): <br />< 3 d <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetCode Violations and must be corrected as indicated: <br />❑ Filters <br />S x( r S C !l'a o <br />❑ Pumps <br />VC, 1 V 1, 62 1, a{ ; U G 4; l <br />❑ Chlorinator <br />❑ Flowmeter <br />i I LASC 1� <br />❑ Gauges <br />�y pC C 1110 r e A d. 6 I-Gt Cr 1i �I <br />El Skimmer & Gutters <br />❑ Back Flow Prevention <br />doled r, he n % 16 Q z, io GGrr�od, 2 LI' <br />❑ Main Drain Cover <br />na <br />(3 Louvoi A 61ef-n 61f—ni o d g t <br />E] Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />_ <br />❑ Fencing/Gates <br />❑ Decking & Coping <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 />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />�f <br />Effluent: ¢- <br />Time In: to. 1 <br />ReceivedBy: <br />Insppe/ctt^e,d, by: <br />Time Out: <br />EHD 36-01 5-6-12 SWIMMING POOL OR Page —L of <br />