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oP4�.�N SAN JOAQUIN COUNTY <br /> Er :10NMENTAL HEALTH DEPART -NT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sigov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: G �f;, r1 n - hg Date: <br /> Address: IS ) i G n City: L6 I h Zip Code: .S S s c <br /> Owner/Operator: q h r I E e , r Telephone: <br /> Program Element: 56 / Program Record: " i,j Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other. <br /> RECIRCULATION EQUIPMENT The marked violations represent Health &Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters 11 <br /> f � <br /> ❑ Pumps - / P c1 le i h u/1 0: (� , G C <br /> ❑ Chlorinator Q U P G )/2 U O t G c d 4U Ca r r e c a , <br /> ❑ Flowmeter <br /> ❑ Gauges -2 � C h 10 ;i ^e q 11. -2 yyj C r 1 e c it - <br /> ❑ Skimmer&Gutters C C, �o. v✓1 <br /> ❑ Back Flow Prevention �n <br /> E] Main Drain Cover /r 6 1 h 4 G i r, r, 'n e b,(? /0 w _ <br /> ❑ Equalizer Line Cover U <br /> CONSTRUCTION <br /> ❑ Pool Shell tn'-7'j ` !P j2 6SGS el1 <br /> ❑ Fencing/Gates 1 S h 1 <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains 0 G r, <br /> SAFETY EQUIPMENT S R(?S cr n a 01c,r ani^ lU K.S <br /> ❑ Rescue Pole <br /> ❑ Life Ring Sc 4P, CC r re c 016 y, <br /> ❑ Safety Signs f f I r N h i A r <br /> ❑ Lifeguard tv L t 4 H i h�� (1.0,-t <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch / <br /> RESTROOMS ! G 4 ` n <br /> ❑ Showers <br /> ❑ Toilet& Dressing <br /> ❑ Ventilation <br /> WATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS 7, i - <br /> ❑ Supervision&Control ot <br /> � <br /> ❑ General Sanitation n C rl G►, n P - 3-140 <br /> ❑ Algae <br /> Influent: <br /> Time In: Receive y Inspe ted by: <br /> .2Effluent: ? Time Out: , � <br /> S - <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page—4-% <br />