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�In SAN JOAQUIN COUNTY <br />B RONMENTAL HEALTH DEPART NT <br />600 East Main Street, Stockton, CA 95202-3029 <br />• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: M Date: $ ' 10 <br />Address: 17 City: Zip Code: 9� <br />Owner/Operator:AOPafTelephon . a/&!2- & q0 <br />Program Element: Program Re ord: Inspection Type: <br />Flow Rate <br />''(gpm): <br />r <br />0 <br />pH: <br />Chlonne (ppm): <br />47G <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />+ <br />s' <br />El Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />np - <br />❑ Gauges <br />/p• <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />Z <br />❑ Decking & Coping <br />W <br />❑ Wade Pool - 2 Main Drains <br />" SAFETY EQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />QCT Nle <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />❑ _Showers <br />❑ Toilet & Dressing _ <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine _ <br />❑ pH <br />❑ Cyanuric _Acid <br />❑ Clarity <br />❑ Test Kits <br />- <br />MISCELLANEOUS <br />- - - <br />O I t <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: N 4 <br />PSI <br />Effluent: b n 5 i <br />Time In: L,30> <br />Received By: <br />Qy�h <br />Inspected <br />Time Out: <br />EHD 36-01 7-31-09 SWIMMING POOL OR Page I of <br />