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+14 L.tr <br />-retd GI krut r‘6 0 <br />Siskis <br /> <br />SAN JOAQUIN COUNTY <br />EN' -1ONMENTAL HEALTH DEPARTr NT <br />1868 LAst Hazelton Avenue, Stockton, CA 952u„-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />C* <br /> <br /> <br />'Qi'e•60'‘ <br />Name of Facility: Date: ri t4 <br />City: Le Zip Code: Address: VI 31 t. j jrn -.1 . <br />., Telephone: GI :3- I c: (3 Owner/Operator: 5 A / (YU K-k_ Po 6 I ,S.e. rii--i Cid . <br />Program Element: 3i0 ( I Program Record: p rto -3 6 0360 Inspection Type: 412_0u4s7 ',La.. <br />Flow Rate (gpm): pH: Chlorine (ppm): <br />0 (.. (- <br />Cyanuric Acid (ppm): Temp: Reinspection on or after: <br />Other: <br />R ECIRCULATION EQUIP MENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />NI' Filters <br />lEr Pumps <br />Kr- Chlorinator <br />Flowmeter <br />[0.- Gauges <br />E' Skimmer & Gutters <br />Back Flow Prevention <br />Er Main Drain Cover <br />E' Equalizer Line Cover <br />NsTtklitrie)N <br />2- Pool Shell <br />Er Fencing/Gates <br />IR Decking & Coping <br />Wade Pool -2 Main Drains <br />E' Rescue Pole <br />Ilk Life Ring <br />R., Safety Signs <br />Lifeguard ti/A <br />Pool/Deck Lighting <br />Ladders/Hand Rails <br />RI,- Depth Markers/Tiles <br />El First Aid Kits <br />fl Emergency Shut-off Switch <br />fiESTI300 S <br />Showers 44- <br />g- Toilet & Dressing <br />Er Ventilation <br />QUALITY <br />Chlorine <br />27 pH <br />LJ Cyanuric Acid <br />E- Clarity <br />2/' Test Kits <br />IL- Supervision & Control <br />Ue, General Sanitation <br />Or Algae <br />k e La <br />4t..A1,00 - 2 <br />3 t2+ flec r <br />c4 +kr.A-( • <br />k4 <br />%r) n14-SS r1.5 . ?r-DV-k &ft <br />ZIALe—i-r-1 <br /> <br />Or) <br />rt a ac4 s 3 <br />vvo Lz <br />c43 51' LA) tc, 4-e 1.)-N ?VIA) <br />(2)Pu c' L6 no -F 6o a-0_ a -7,--)r1c._\ h <br />loco e-erPFLe <br />Influent: to <br />Effluent: <br />END 36-01 5-8-12 SWIMMING POOL OIR <br />Time In: (47 7),.4,) <br />Time Out: 0 V <br />Inspected by: <br />q-6P it""e-It4/1S,_ <br />Page