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SAN JOAQUIN COUNTY <br /> `yam ENV' ONMENTAL HEALTH DEPARTM' 'T <br /> N. <br /> 1868 Eu_. Hazelton Avenue, Stockton, CA 9520:,-0232 <br /> cq<r oa�;P Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sigov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: i( 1 Cl 1 N N On SAu u v Ll n t-- Date: L_f j 0/ <br /> Address: (0�2e) t _ .,e ;h City: SIvG�"DT) Zip Code: gCj2!✓}r(j <br /> Owner/Operator: .v W,,v icl (t f N h <_r cAv rant,-., L L-L Telephone: <br /> Program Element: —3011 Program Record: F9 b '50 ,CG a( Inspection Type: a- <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> �� / u r-C Other: '�/v 1 Il cull <br /> L CL <br /> REC,IRC'UL,ATI0N=EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> -Filters <br /> Pumps �►U rWe Ohl V kTw . C� vi Sf- � 1- - G m <br /> Chlorinator <br /> Flowmeter �^ The comhln�c! c�1\vr iCLe (�N.e1 I S aA 6 (o ftp . <br /> Gauges <br /> Skimmer&Gutters p' Sk -1-O Cif U SS ' <br /> Back Flow Prevention <br /> Main Drain Cover <br /> Equalizer Line Cover The e ( (,'D U r I u-4 <br /> Pool Shell <br /> Fencing/Gates `(1 <br /> Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> ni Lo, <br /> Rescue Pole <br /> Life Ring <br /> Safety Signs <br /> Lifeguard The L } <br /> Pool/Deck Lighting � I I e Q�"1 /�� Ua S t SSS n TnS �+ <br /> 1& Ladders/Hand Rails a�> &con aS SSI�IQ . <br /> ,,Depth Markers/Tiles <br /> First Aid Kits <br /> Emergency Shut-off Switch <br /> RE 'n Qzn <br /> SROOMS S <br /> ❑ Showers <br /> ❑ Toilet& Dressing <br /> ❑ Ventilation <br /> 036"W 104"o Aw <br /> �. Chlorine , 1 e G a� ` S a U(XSt Akl(2, <br /> pH <br /> Cyanuric Acid V j Cib <br /> [] Clarity <br /> Test Kits <br /> _ #1!�CE���" �u us._ ' _ V�G� fiU Sfi 1,i C-IF I - 'N o�e SU�� <br /> [?'Supervision&Control i �S i � C��` �•,r� ��i� <br /> E' General Sanitation <br /> Algae ,] /- �f <br /> Influent: 2� , y <br /> Time In: . 3)�j Received By: 1 s ected <br /> Effluent: Time Out: -.2 _ -40 . Z_211i_.� <br /> EHD 36-01 5-5-12 SWIMMING POOL OIR Page / of <br />