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o'4Ck SAN JOAQUIN COUNTY <br /> 2f t, i Er. RONMENTAL HEALTH DEPARTk._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: Date: ,C/ I <br /> Address: City: Zip Code: ?'Tzp <br /> Owner/Operator: �{1K C �y$�L Pfiz j W,1 7e-, Telephone: �2 <br /> Program Element: 3cP/� Program Record:ko i 0j /Q Inspection Type: REiNrj��1 /� <br /> Flow Rate gpm): H: Chlorine(ppm): Cyanuric Acid ppm): Temp: Reinspection on or after: <br /> ell, y l ��d�e 460rNA 3 v <br /> / f Other: <br /> R�GiRCULAT>'PON EQU1 `�A:E�iT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters �Sjpq CG� wU�2K <br /> El Pumps <br /> ❑ Chlorinator q/� ,(/!qL G N W0/�K bw-5- tvo7- , /SSC— <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters I.lX�j N'� �2 5 r,• ;�< �C-��lR rD I"�Ofi<t� /u� <br /> ElBack Flow Prevention 0A <br /> ❑ Main Drain Cover \ <br /> ❑ Equalizer Line Cover kl4i t1 kr6 ASE S dE eT►A 'V kP ESS <br /> ❑ Pool Shell !) l lBTr� <br /> ❑ Fencing/Gates <br /> ❑ Decking &Coping A <br /> El Wade Pool—2 Main Drains �6 Q 1 R(066.3 V 40t44-T/O+1�S <br /> U �,,,1Vf <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs Q 70 R&' )PzwaQ fs`,9 <br /> El Lifeguard <br /> / <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth MarkerslTiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> g <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae / <br /> Influent: / <br /> Time In: Received By: Ins pe ted by: <br /> Effluent: <br /> Time Out: 9 , <br /> EHD 36-01 7-31-09 SWIM NG POOL OR Page of� <br />