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SAN JOAQUIN COUNTY <br />N Z� ENVIKONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />4�IFORt� <br />CWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: �' <br />Date: 10/14 <br />0 <br />Address: 3 2 qat. <br />City: Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: Program Record: <br />Inspection Type: <br />7— <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <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 />I t <br />` <br />Y . <br />El Pumps <br />(.til <br />MGUS <br />❑ Chlorinator <br />❑ Flowmetery� <br />_ <br />1 � <br />^ .14 r i 1 <br />`ed' ✓Oe� <br />❑ Gauges <br />'tJUL,A <br />'1 14— <br />t a.1A 614— <br />❑ Skimmer & Gutters. <br />Back Flow Prevention <br />Back <br />❑ Main Drain Cover <br />tz1A.1 4 <br />0 6'1&0A <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />i O F <br />1 ff ,�., <br />rGr'o+' 1 4, �✓.i4 ` <br />L (� <br />T ° K a <br />❑ Pool Shell <br />❑ Fencing/Gates <br />eo afow- <br />E] Decking & Coping <br />P <br />W is <br />❑ Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />� G t(wt;e� at V0 V <br />El Lifeguard <br />ot park <br />❑ Pool/Deck Lighting56"16 <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />3 #A j <br />4 L I µa —1 �l , <br />0 <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />1 <br />1 <br />- p • _ n <br />M.O��t SIfC-notA, <br />µ[ms <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />{ <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />_ <br />_ <br />- <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: <br />Time Out: <br />Recei%.eedd, By: <br />�" - 6.153'1 �y <br />Inspected by: <br />EHD 36-0105-29-2007 Pulte of <br />