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oP4�N. SAN JOAQUIN COUNTY <br /> ENS ONMENTAL HEALTH DEPARTN IT <br /> N:Lys C <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> \�FORa�"• Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: (&v 1 (A o4)4)4 on g au folni Date: u/I&/1 <br /> Address: L,2-e, f cen (c�m city: 5 1 Tn Zip Code: q(',-ZGb <br /> Owner/Operator: (Fiv IU 114 N 0 po WS1 Q0 n Telephone: <br /> Program Element: o"ti �� Program Record: P 6 .0 {)& Inspection Type: tirLe- <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on ori Iafter: <br /> Other: VV 1 �\ (-n 1 <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&SafetyCode Violations and must be corrected as indicated: <br /> E] c <br /> Filters - - 2ov.I U 1 C,(A I c ' o (0q <br /> U <br /> ❑ Pumps _ <br /> ❑ Chlorinator <br /> Flowmeter i fJ GG' S �`,U \ <br /> CA rNd 1_q- a1 Q Q <br /> ❑ Gauges ` <br /> ❑ Skimmer&Gutters uW Un -cium CkG <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover (�f" <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> Wade <br /> r� <br /> ❑ Wade Pool-2 Main Drains yool f S 1 v fTimckI n Cld�� U * <br /> SAFETY EQUIPMENT G e cbom ,( ,P��-+!N� ( - <br /> ❑ Rescue Pole J <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting L <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch S, s ( >� G1\A n <br /> RESTROOMS \ CW <br /> ❑ Showers �Am`t-ioir Cj�- rwfPS� 1 1izA I <br /> ❑ Toilet&Dressing 1 <br /> ❑ Ventilation Va0`V dd wc- <br /> WATER QUALITY <br /> ❑ Chlorine � ' ` „l` � <br /> -L0 <br /> E:1pH <br /> ❑ Cyanuric Acid MC-1(W cJ- "W 09ce <br /> ❑ Clarity _ <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae Gc'� <br /> Influent: <br /> Time In: Received By: I cted b <br /> Effluent: Time Out: <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page a--Of <br />