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SAN JOAQUIN COUNTY <br /> ENWRONMENTAL HEALTH DEPARTivi-NT <br /> N; < <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> °9�FORa P Telephone: (209) 468-3420 Fax: (209) 468-3877 Web:www.sigov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: �' —Al n �j o Date: <br /> Address: y(O cJCity: 40_-/76 r-V.oe Zip Code: 4' 6 33 0 <br /> Owner/Operator: G h Aga r- bhOO4 Telephone: 37 _ ;?7 0 <br /> Program Element: 34111 Program Record: POP, oZ &3_5 Inspection Type: GLl-�-i rL� <br /> Flow Rate,((ggfpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> FC- tom` Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br /> d Filters -y <br /> Pumps 1 ' ) e chloY►1&e- Lev:p1 27' h f V -Pn 4 <br /> Er Chlorinator P,e - Q .0 <br /> Flowmeter / <br /> G]/ Gauges r �G C� Y7 <br /> Lk Skimmer&Gutters UZder ,?!!!j <br /> ❑ Back Flow Prevention <br /> E� Main Drain Cover 0 r� � 12 vU?— Y q n <br /> Equalizer Line Cover re-et eq_ <br /> CONSTRUCTION <br /> Pool Shell Lpc.v�n <br /> (� Fencing/Gates -- j/ �� y <br /> -- r o 4SCt <br /> [Decking&Coping ,f ,. <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT <br /> [� Rescue Pole <br /> [�Life Ring <br /> [[�Safety Signs <br /> ❑ Lifeguard ci Or <br /> Pool/Deck Lighting <br /> [� Ladders/Hand Rails <br /> [� Depth MarkerslTiles <br /> []� First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> ❑ Showers N/" <br /> [!� Toilet&Dressing <br /> Ventilation <br /> WATER QUALITY <br /> Chlorine <br /> pH - -- <br /> []� Cyanuric Acid <br /> go" Clarity <br /> ❑ Test Kits -- <br /> MISCELLANEOUS <br /> Supervision&Control _ — <br /> �- General Sanitation _ - -- <br /> [+� Algae <br /> Influent: i <br /> Time In:9PCeived By: Inspected by: <br /> � <br /> Effluent: Time Out: a , <br /> EHD 36-01 5-8-12 SWIMMING POOL OF Pageof� <br />