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,42)/ <br />A, 5/ Race...19 <br />0 c7. /(-A <br />SAN JOAQUIN COUNTY <br />ENV ONMENTAL HEALTH DEPARTM, ,T <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Date: .. — <br />Address: City: CitY: /fr-1---7•71--".. Zip Code: ./...5-.3". <br />Owner/Operator: Telephone: -7,----,-;—,,,e'..(-:--- ---...7-.---77- <br />Program Element:3 6-,--,,,,,. Z36ymiram ) Record(36-0.39 Inspection Type:r• ((icr-)<=?? .2 <br />Flow Rate (gpm): pH: Chlorine (ppm): ----- eyanuric Acid (pprrr)' Temp: Reinspection on or after: <br />Other: <br />Name of Facility: <br />?p <br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />El Filters <br />El Pumps <br />l Chlorinator <br />LI Flowmeter <br />Gauges <br />LI Skimmer & Gutters <br />E] Back Flow Prevention <br />C1 Main Drain Cover <br />DI Equalizer Line Cover <br />CONSTRUCTION <br />Pool Shell <br />Fencing/Gates <br />Decking & Coping <br />LI Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />0 Rescue Pole <br />0 Life Ring <br />0 Safety Signs <br />Lifeguard <br />0 Pool/Deck Lighting <br />0 Ladders/Hand Rails <br />LI Depth Markers/Tiles <br />0 First Aid Kits <br />r] Emergency Shut-off Switch <br />RESTROOMS <br />LI Showers <br />El Toilet & Dressing <br />El Ventilation <br />WATER QUALITY <br />ID Chlorine <br />pH <br />LI Cyanuric Acid <br />Clarity <br />Test Kits <br />MISCELLANEOUS <br />0 Supervision & Control <br />76/ <br />76 (z <br />A 7 <br />-5 CZ <br />ZY zaa-/ <br />_22 ." (-77 <br />c At _)//C2r -2 <br />(-)Mn,=, <br />.42p <br />CC <br />/75 C3-/ „exc.)/ /c5 /-7-" <br />70 <br />El General Sanitation <br />LI Algae <br />Influent: <br />Effluent: <br />Time In: <br />Time Out3 <br />specte by: <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Pagee''''' of