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SAN JOAQUIN COUNTY <br /> ENVInJNMENTAL HEALTH DEPARTMEN f <br /> 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> Tekphone: (209)468-3420 Fax:(209)464-0138 Web: www.sjgov.org/ehd <br /> 9 CIFOR� <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: -Ujc�t�-� ev Date: 7- 5--05r <br /> Address: Zj0( -est, r' LG.- City: S4-�_h Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: 3&W Inspection Type: PPrv- -f Isc�.Ee r <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator jM vPitt ta.�" l...Vt rlleo(Q <br /> ❑ Flowmeter <br /> ❑ Gauges 0.r I."k S A. cw s <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover P �6�- S ILC. <br /> lttttrn Girr4.K 4 <br /> CONSTRUCTION .L <br /> ❑ Pool Shell ✓t S w S �� e , 1 WUtI <br /> ❑ Fencing/Gates �n Irl (,'tO_ tr}�'4 3 <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains L6ta/i�rr Vlti//1/•vN.>~1 <br /> SAFETY EQUIPMENT �e{• It/W <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ LaddeDepth s/alandRails �- ps U e. _ �n `el _ <br /> ❑ Depth Markers/Tiles flM��-"'nnom^^ a.�trl, t"'�.a./ <br /> ❑ First Aid Kits KV-IV <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation Ab&vt i4eiw�s ✓y' s' C b -7- I rt - Qs- <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 /> Time In: Received By: Inspected by: <br /> Effluent: Time Out: <br /> F W .A1P 3 d-t rl"mayf �n � <br /> EHD 36-015/26/05 <br /> Page—of <br />