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Date: Ca,- Name of Facility: <br />Er 'RONMENTAL HEALTH DEPART NT <br />1868 Last Hazelton Avenue, Stockton, CA 952uo-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />SAN JOAQUIN COUNTY — <br />Address: 2 \-.C') c2--- City: (.., \,, Zip Code: q 2\4 0 \ .),./.._(---..Q.,., ..)„.) <br />Owner/Operator: Le Q.. ) \--\- f\f\ct•-X Telephone: 5---0-- lz-j- 0-1- <br />Program Element: '?.....6, \\ Program Record: 'te, 0 0 -2:3 Inspection Type: <br />Flow Rate (gpm): pH: <br />.--q - <br />Chlorine (ppm): <br />C . -4. <br />C . C 0 0 <br />Cyanuric Acid (ppm): <br />S 0 win <br />Temp: __, Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />D Filters <br />El Pumps <br />111 Chlorinator <br />El Flowmeter <br />ID Gauges <br />111 Skimmer & Gutters <br />111 Back Flow Prevention <br />RescuQoJe,, <br />LI pH <br />111 Cyanuric Acid <br />[7c- Clarity <br />El Algae <br />Influent: t <br />Effluent: 2_ <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 />CL.r.--r,ke<. 1oo 9.4c <br />rce_ 1,6\\--ke- <br />r-,L,-J-7 <br />Inspected by: Time In: \ aniN <br />Time Out: <br />\3\)-(2- z2..j - <br />c3r0J-'\ CX•Sc- S) <br />Receiv <br />Page of <br />Life Ring <br />..... •• <br />.. .. . -.9‹, <br />:-C