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SAN JOAQUIN COUNTY <br /> ENv,RONMENTAL HEALTH DEPARTIViLNT <br /> y` Stockton, CA 95205-6232 <br /> • 1868 East Hazelton Avenue, <br /> •cq�;o:R��' Telephone: (209) 468-3420 Fax: (209)468-3877 Web:www.sigov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: (.1yjU j jvjJ 0%j Date: --/6I1I3 <br /> Address: 1 td 2 Fj IV• -�WrOn (arpip City: S�Wytjn Zip Code: ql)-)va <br /> Owner/Operator: $(-.Q/V i[A MV a1 J t MA MN- Telephone: q <br /> Program Element: bl6l Program Record: V9— D N4) D (D Inspection Type: (u. "Fie <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> -(] �•Z lrIl ��/ Other: <br /> • ,q c l% v <br /> RE.CIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected <br /> as indicated: <br /> Filters_____ <br /> Pumps �,�Y <br /> Chlorinator �U 1 . V (T) • �W_`(1�'iLr As u Ur4 <br /> Flowmeter s (� x1() ant v._ )i7e - -� <br /> Gauges <br /> Skimmer&Gutters (J 1 In <br /> ❑ Back Flow Prevention 11 <br /> ��, � GC/�" a fe'i �Or <br /> Main Drain Cover '1w '� � <br /> Ef Equalizer Line Cover `n /r � -e. `��,, 0& <br /> CONSTRUCTION � a <br /> Pool Shell <br /> Fencing/Gates 7j ci-w does � �q4g cx gew w <br /> Decking &Coping <br /> ❑ Wade Pool-2 Main Drains 0115 �6Y� SOG) c, <br /> SAFETY EQUIPMENT c �- ctud <br /> Rescue Pole 1 �p <br /> Life Ring be <br /> Safety Signs -m �6110W; Q�)eA�VgCATS <br /> ❑ Lifeguard �ny� <br /> Pool/Deck Lighting Loons `��l/ = �`U`��t l <br /> Q Ladders/Hand Rails <br /> ❑ ZDepth Markers/Tiles y <br /> First Aid Kits Th <br /> ❑ Emergency Shut-off Switch ,y.� h; fi`,�� Sjm�1 6 +�1� <br /> RESTROOMS `�) pp / •� <br /> ❑ Showers g-uv e <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> WATER QUALITY <br /> Chlorine <br /> pH <br /> yanuric Acid <br /> Clarity <br /> Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: --4ue., j4 <br /> 40 <br /> Timeln: �� .V1j~ ReceIV€e By: Insp cted by <br /> Effluent: ? Time Out. �� 0✓0 <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page of <br />