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SAN JOAQUIN COUNTY Pbo l Se ru- Ge, <br />ENVIRONMENTAL HEALTH DEPARTN.cNT PV U 83D—q &65' <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 ,, �-F00/ _5ergr. <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sigov.org/ehd KLM 934-30-7-3 <br />.F <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: L 00 Date: <br />Address: 4-4City:/WQ Zip Code: <br />Owner/Operator: j Telephone: <br />Program Element: Program Record: 20 3o Inspection Type: '." <br />Flow Rate (gpm): <br />7 <br />pH: <br />,a <br />Chlorine (ppm): <br />G'&PC <br />0- aLcC, <br />Cyanuric Acid (ppm): <br />OV2r" too <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 />L❑^Filters <br />r rnInx ie [ V F <br />4z Pumps <br />_1 %ac(� Qnt4_ /94,�tc1 P <br />®" Chlorinator <br />Flowmeter- <br />GS pV�r /OD <br />A rLtl /r � Ll G it7 <br />Gauges <br />rc a(Gl qo <br />[i?- Skimmer & Gutters <br />Back Flow Prevention <br />U l00 <br />[L� Main Drain Cover <br />Y- Q <br />[� Equalizer Line CoverW <br />CONSTRUCTION <br />Eta-- Pool Shell <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 ,J PY <br />[g- Pool/Deck Lighting <br />❑�- Ladders/Hand Rails <br />[�] Depth Markersrriles <br />[� First Aid Kits <br />❑ Emergency Shut-off Switch <br />'RESTROOMS. <br />B Showers <br />Toilet & Dressing <br />Ventilation <br />WATER QUALITY <br />Chlorine <br />pH <br />Ili Cyanuric Acid <br />Clarity <br />Test Kits <br />_ <br />MISCELLANEOUS <br />Supervision & Control <br />�- General Sanitation <br />[[� Algae <br />Influent: I 0 <br />Effluent: <br />Time In: <br />Racal v dBy• <br />6 <br />Inspected by, <br />I` ��711f <br />11 Time Out: to! p <br />EHD 36-01 5-8-12 SWIMMING POOL OR /'f r(` / Page of <br />