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J <br /> n.. SAN JOAQUIN COUNTY <br /> F /IRONMENTAL HEALTH DEPAF SENT <br /> bu0 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: f sw Date: /j/ <br /> Address: City: Zip Code: <br /> Owner/Operator: �/ � Telephone: <br /> Program Element: Program Record:Q 6 90 J-7 0 6 Inspection Type' <br /> F�lw Rate(g m):p - s ! Chlorine( pm): cy�nuric cid pm): Temp: hZ Reinspection on or after. <br /> iVo �. ,2 � an If.;fs 44h Other: V <br /> Ce <br /> aLlh <br /> 3 <br /> IRECIRCUUATIONIEQUIPMENTA The marked violatip ns represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps �� ) <br /> ❑ Chlorinator <br /> ❑ Flowmeter ny r o'r <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters �(A <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover -- Op <br /> El Equalizer Line Cover Q�r� 0,10--e -1-- <br /> �CONSTRUCTIO <br /> N� <br /> ❑ Pool Shell !�V' <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> �SAFET.YIEOUIPMENT� <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shutoff Switch <br /> �RESTROOMS7 <br /> ❑ Showers <br /> ❑ Toilet& Dressing <br /> ❑ Ventilation <br /> PH lllllllllllllllllllll�WATERIQUALIT,Y� V 9 mylc- 'y M49 V/ <br /> \ <br /> havie- <br /> El Chlorine <br /> ❑ <br /> ❑ Cyanuric Acid ^/ ,/ lNt <br /> Clary <br /> ❑ Test Kits C11 7 �l <br /> ❑ Test Kits <br /> �MISCEUVANEOUS� ✓ �� ✓ R� <br /> ❑ Supervision &Control <br /> 1 1 <br /> ❑ General Sanitation <br /> ❑ Algae _ /_ <br /> Influent: / \1 � <br /> ,2 . 1?�D d G A <br /> 11ylI SPh Time In: 1t <br /> , /D Received By: t Insp cted by: <br /> Effluent: Time Out: <br /> D 36-01 7-31-09 SWIMMING POOL OIR Page 4 ofL <br />