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RECIRCULATION EQUIPMENT <br />Filters <br />Pumps <br />Chlorinator <br />Flowmeter <br />l Gauges <br />Skimmer & Gutters <br />Back Flow Prevention <br />Main Drain Cover <br />El Equalizer Line Cover <br />CONSTRUCTION <br />Pool Shell <br />Fencing/Gates <br />I=1 Decking & Coping <br />Wade Pool — 2 Main Drains <br />,SAFETY EQUIPMENT <br />Rescue Pole <br />Life Ring <br />Safety Signs <br />0 Lifeguard <br />Pool/Deck Lighting <br />Ladders/Hand Rails <br />Depth Markers/Tiles <br />First Aid Kits <br />LI Emergency Shut-off Switch <br />RESTROOMS <br />Showers <br />Toilet & Dressing <br />Ventilation <br />WATER QUALITY <br />D Chlorine <br />0 pH <br />Cyanuric Acid <br />0 Clarity <br />Test Kits <br />MISCELLANEOUS <br />I=1 Supervision & Control <br />General Sanitation <br />Algae <br />Influent: <br />Effluent: <br />— - 0-- <br />Insp cted by: <br />den -o 3 <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />Time In: <br />Time Out: <br />un <br />Received By: <br />214t6. ciA44,)_ drik. elfu 7t cL,jdc4t tv& <br />Or A <br />iplo vont, a itidl le-/ 3 41(14,4u <br />D.A44tt4 iv& rzi,‘If/() zi-atte -€1-fu4) <br />ri4Tati,"I,c#4111,- to& ee,k_ tevvvli <br />erh <br />fivitau AP/0/4 pvm4,h,iti4'4).1orivirxte,ot <br />1,174414r de 40 xin,OLbi,ttutittui <br />.5 (IRS <br />SAN JOAQUIN COUNTY <br />?!? <br />• EN _ irRONMENTAL HEALTH DEPART1—NT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: wwvv.sjgov.orgiehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br /> Date: I / <br />I <br />Zip Code: Address: / Qin/ TI e 41)14•10 <br />Owner/Operator: Telephone: <br />1 . <br />Program Element: Program Record: Inspection Type: <br />Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp: Reinspection on or after: <br />Other: <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page of