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Pp.U1N SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />4�tFOR� <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: 1.'k2V1 GW Date: <br />1 <br />City: .� Zip Code: <br />Address: i p L <br />Owner/Operator: Telephone: <br />Program Element: Program Record: Inspection Type: fe - P. <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />❑ Filters <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />1511 Was LAS Poq{ d s OE%t cf <br />❑ Pumps <br />M At'2-7 (\ " oJ, s F T <br />❑ Chlorinator <br />❑ Flowmeter <br />? k OUB- S -F'( i15 w k F ZCS. <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />po <br />S t d'1'�- d S Ai <br />❑ Main Drain Cover <br />wI Zq.we1 <br />❑ Equalizer Line Cover <br />CONSTRUCTIONp <br />ry <br />F-1PoolShell <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 />Wks N. S <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />t 1 tA�t <br />❑ Depth Markers/files <br />❑ First Aid Kits <br />E]Emergency Shut-off Switch <br />hL" Ltd n <br />l <br />RESTROOMS <br />s j <br />❑ Showers <br />❑ Toilet & Dressing <br />0.Lie, tt 4r W. AL S <br />❑ Ventilation <br />K ys'� I''"' IZ 0. P ✓ ;W--IvOn <br />WATER QUALITY <br />❑ Chlorine <br />ifF21 X, d- C- <br />❑ PH <br />❑ Cyanuric Acid <br />G YbV GtpL tL '� VU/ <br />❑ Clarity <br />cA. ✓ C 6deYK <br />❑ Test Kits <br />MISCELLANEOUS <br />Is 1.._. �. <br />10 k;b <br />Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />e ��{K(� rz <br />C <br />Time In: Received By: y <br />Time Out: FA4 J`10 BW -O .-A <br />IInrs�eccteed�,by�: p <br />�r� 2 � �—� <br />CCII <br />EHD 36-015126/05 Page — of <br />