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<br />_ SAN JOAQUIN COUNTY <br />EN \ )NMENTAL HEALTH DEPARTM T <br />1868 East Hazelton Avenue, Stockton, CA 95205-b232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />\ Name of Facility: -_-) \ k ._i•-) C \ v ) V") \--N Date: le 0 <br />Address: 2-'---k \o \ mo, c\-\ A r brapk_ City: N\c/vNire--C.-ck Zip Code: 9 <br />Owner/Operator: ,,.....),Dc,6*, j . \ d c-)7 1--NOil Telephone: $.,2_ :..4 _ <br />Program Element: -ok'? Program Record: 3 2-1 9 2 a Inspection Type: <br />Flow Rate (gpm): pH: 1 Chlorine (ppm): <br />*:-. c . -,21. S <br />Cyanuric Acid (ppm): Temp: .on Reiinspettion or after: <br />Other: <br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />Filters ( <br />1 Pumps • <br />9...c...,,,--CU._..a.A. ‘,..,„ --0-e Cl SP Pir CL.,c_.c.„.0 • Chlorinator <br />E Flowmeter <br />-c.) \'-----•c' Nt C---\(`-1----12- • Gauges ..J <br />• Skimmer & Gutters <br />E Back Flow Prevention <br />1-r-A-'2-e-g24 c_le ,A5-4--12 3-V\ \ \ 0,‘A- ••S Nin M Main Drain Cover <br />• Equalizer Line Cover <br />CONSTRUCTION - <br /><,EVf\ /-,r("No‘j, C.Z.-2sNell • Pool Shell <br />M Fencing/Gates <br />III Decking & Coping , <br />C-O____se .-2PC-C7\S-\ -,Z(-N 7r(--e--c9.)) Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />• Rescue Pole <br />- (Cell) Life Ring • <br />• Safety Signs <br />M Lifeguard <br />NI Pool/Deck Lighting <br />IN Ladders/Hand Rails <br />• Depth Markers/Tiles <br />• First Aid Kits <br />Emergency Shut-off Switch <br />RESTROOMS <br />LII Showers <br />• Toilet & Dressing <br />• Ventilation <br />WATER QUALITY <br />• Chlorine <br />M pH <br />• Cyanuric Acid <br />M Clarity <br />Test Kits <br />MISCELLANEOUS <br />• Supervision & Control <br />• General Sanitation <br />Algae <br />Influent: <br />Effluent: <br />Time In: 2 A .s 0 Received By: Inspected by: <br />Time Out: 2'. \-k 0 cm '-/c_ 6 v u, 1-\ \N7, i € <br />EHD 36-01 5-8-12 SWIMMING POOL OIR <br /> <br />#1k4- OSSDPage_of_