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tt,s' • <br />Name of Facility: <br />SAN JOAQUIN COUNTY <br />ENviRONMENTAL HEALTH DEPAR-Dvic.NT <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: — 3 -(3 <br />rrec•-i-e af <br />3f -a ,A;c14-e <br />7J),3 tAMA-e_ <br />CO to W 0 r ebiel "t1 <br />s <br />ono r c_ Le trg..2 Ls o e <br />-Dret:tei Tool 6-, -Fin r-e <br />, r <br />Address: 5 0 44 J oA 1--i-li h a e.,_4( .,,f City: A 4_0 c j(+0,,i Zip Code: at 5 .6, 7 <br />Telephone: Lt. --7 7_4 037 Owner/Operator: 5//9- <br />Program Element: 36, 1 9_. Program Record: FR o -36„06a Inspection Type: )_nd P.-_, (r7 4 <br />Reinspectioli on or after: Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp: <br />Other: <br />RECIRCULATION EQUIPMENT <br />Back Flow Prevention <br />Main Drain Cover <br />Equalizer Line Cover <br />Pool Shell <br />Fencing/Gates <br />Decking & Coping <br />Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />1=1 Rescue Pole <br />Life Ring <br />CI Safety Signs <br />1=1 Lifeguard <br />WATER QUALITY <br />CI Supervision & Control <br />General Sanitation <br />Algae <br />Influent: <br />Effluent: <br />EHD 36-01 5-8-12 SWIMMING POOL OIR <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />-a el theAri ce. • Jaciiss <br />t oo p err , . <br />a.J3 o iLi <br />Time In: ei 3o <br />Time Out: ic • '0 0 <br />R e c Inspected by: <br />Page 1 of I <br /> fv4017Atti,:k105109gi