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Inspected by: <br />Page ( of r <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMcNT <br />1868 East HazeIton 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 />Name of Facility: CO o {-j--ci 01 r ci i llan±.. Date: 1-7 _ 2(e _ i 3 <br />Address: up ot 0 --61 u cl City: -- k fua c Zip Code: q ---rit_a_ c_ti <br />Owner/Operator: ancx-i-ule‘cct U 1 LL Telephone: Telephone: 8. 3-2)__ $? 0 on <br />Program Element: 30 i ‘ Li Program Record: R. 0 -5 400 Lt 0 2- 9...., Inspection Type: RA_ idel__S • f <br />Flow Rate (gpm): <br />; <br />pH: Chlorine (ppm): <br />a'OFC <br />Cyanuric Acid (ppm): Temp: Reinspe tion on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />El Filters <br />Pumps <br />Chlorinator <br />Flowmeter <br />Gauges <br />Skimmer & Gutters <br />Back Flow Prevention <br />Main Drain Cover <br />Equalizer Line Cover <br />INIMILIKELEEME1111110 <br />Pool Shell <br />Fencing/Gates <br />Decking & Coping <br />Wade Pool —2 Main Drains <br />Viti1V <br />Rescue Pole <br />Life Ring <br />Safety Signs <br />Lifeguard <br />Pool/Deck Lighting <br />Ladders/Hand Rails <br />Depth Markers/Tiles <br />First Aid Kits <br />Emergency Shut-off Switch <br />RESTROOMS <br />CI Showers <br />Toilet & Dressing <br />Ventilation <br />WATER QUALITY <br />Chlorine <br />pH <br />Cyanuric Acid <br />Clarity <br />Test Kits <br />MISCELLANEOUS <br />Supervision & Control <br />General Sanitation <br />Algae <br />Influent: <br />Effluent: <br />EHD 36-01 5-8-12 SWIMMING POOL OIR <br />LA-i ( 0+ke V" V io uj cutfe <br />cle v-isce_ re - ins Mil C.A1 eunlia <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />nA) o v-er 100 pp <br />"or TOI yrt cuo 9-0 i <br />czrre_e_4e.A