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PpU1N SAN JOAQUIN COUNTY <br /> •i•� "� � ENS. JNMENTAL HEALTH DEPARTW.- .i <br /> { 304 East Weber Avenue, 3d Floor, Stockton, CA 95202-2708 <br /> • (sq,. _-N`p., Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> �rFOR <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: RQ& ffu Date: <br /> Address: 9 1 Val;�� City: <br /> Zip Code: <br /> ys Owner/Operator: r <br /> 7, i $ Telephone: <br /> -L Program Element: C, Program Record: jo R 36 0g / <br /> 8W Inspection Type: ✓l.fl� <br /> Flow Rate(gpm):__ Z Cltlor'ne(�m): Cyanu is Acidppm): Temp: . Reinspection on or after: <br /> Q S a: $ 1 Spk :�U SPQ, : p y, Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> El Flowmeter �„'Z–'�3ova <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters —G <br /> ❑ Back Flow Prevention <br /> t ❑ Main Drain Cover '- Ae el-e, r 5� i5 Odes Q <br /> �" ❑ Equalizer Line Cover <br /> CONSTRUCTION / <br /> ❑ Pool Shell e e C 71/�p�j <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool–2 Main Drains <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> _❑ Life Ring <br /> ❑ Safety Signs <br /> Li <br /> ❑-Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markersrriles <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 /> MISCELLANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> oa S� <br /> Influent:� / <br /> 51 / <br /> Time In: eO n2 Receive By: /1/ I Inspe ted by: <br /> Effluent: S Yr/2 <br /> Time Out: � <br /> .. p <br /> EHD 36-01 5/26/05 <br /> Page_of_ <br />