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SAN JOAQUIN COUNTY <br />i ENV' NMENTAL HEALTH DEPARTME <br />1868 Eaat riazelton Avenue, Stockton, CA 95205-o[32 <br />"' •; Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sigov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: \ I <br />' - <br />Date: <br />Address: `3-3 <br />1 City: - <br />Zip Code: <br />Owner/Operator: U GI,.E <br />Telephone: <br />Program Element: 3 b 1 I <br />Program Record: 3�nobq <br />Inspection Type: <br />Flow Rate (gpm): <br />--I f' N <br />pH: <br />Chlorine (ppm): <br />F- C- b - 6 <br />C( 0.2 <br />Cyanuric Acid (ppm): <br />'7 � Go <br />Temp: r^ <br />Reinspection on or after: <br />Other: <br />The marked violations represent Health & Safety <br />Code Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />S <br />❑ Gauges <br />VL - <br />❑ Skimmer & Gutters <br />E] Back Flow Prevention <br />- <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />_ <br />❑ WadePool - 2 Main Drains <br />' SAFETY EQUIPMENT <br />❑ Rescue Pole <br />- -- <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 />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH -- <br />- <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />- <br />❑ General Sanitation <br />❑ Algae <br />Influent: `b <br />Effluent: -�- <br />Timeln: a' Received By: <br />Time Out GI' -} <br />Inspected <br />1_by: <br />,` -`r1�av�Q'Z <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page l of <br />C1��C�o•� <br />