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*SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL 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 /> QClFORa <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Aelo 06a h Date: _e) <br /> Address: e City: Zip Code: 2 d <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Pe O3(p Ol Inspection Type: i7fs <br /> Flow Rate(gpm): pH: Lf Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> O S-iP/'�0sj , Other: <br /> CC� <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters JL 7 . �O <br /> ❑ Pumps A 7 <br /> ❑ Chlorinator <br /> ❑ Flowmeter _ <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> + CONSTRUCTION <br /> ❑ Pool Shell . <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> d. SAFETYEQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard cc�7 <br /> ❑ Pool/Deck Lighting Vj/�Q _ ®,ezyo Z g6 <br /> ❑ Ladders/Hand Rails <br /> 1 ElDepth Markers/files FC = a y AeM CJ\ 304��f; <br /> ❑ First Aid 1Ctts ! Q -�l✓ILu -_ 3 0 <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation et 4io05 a ky Zeol e!�O or C fP -- <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:' 1 <br /> / <br /> Effluent: Time In: ��`f'v Recei ed By: Inspec d by: <br /> . f / <br /> / �� <br /> EHD 36-0105-29-2007 Page_of_ <br />