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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTML,aT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />1O <$--Address: / <br />Name of Facility: (Ah.^W h ctv--o_ a r4h,-ej,+S Date: 116—'e9-----7 <br />Address:/ 6 �+r City: ' Zip Code: SS7 <br />Owner/Operator: ' a m G <br />Telephone: <br />1 1 <br />nsection Type: <br />Program Element: G ( Program Record: Qp YP Re�� 5 CTT ✓� <br />Flow Rate (gpm): <br />pH: ) ` <br />7v"i <br />Chlorine (ppm): <br />��`7� �� <br />Cyanuric Acid (ppm): <br />�' ��f� <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafeCode Violations and must be corrected as indicated: <br />❑ Filters <br />iviai Cc( uS <br />El Pumps <br />/L � i - 1,.4– cLP.,$ <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />rr /e 2 / <br />❑ Main Drain Cover <br />r 1 <br />GjQ FLhr % ^ /C7 , <br />❑ Equalizer Line Cover <br />CONSTRUCTION IT <br />❑ Pool Shell <br />5 e <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool – 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />r <br />t <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />Q O <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 />Effluent: <br />Time In: <br />Re ived By: �_ <br />Inspected /bJy:� \ <br />Time Out: Z <br />EHD 36-01 5-8-12 SWIMMING POOL OIR <br />Page — of <br />