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Pq l" SAN JOAQUIN COUNTY <br /> "^ ENVIRONMENTAL HEALTH DEPARTMht.IT <br /> p. 304 East Weber Avenue, 3 d Floor, Stockton.CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd - <br /> 4lrFON�` '— � <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: 1 14C 3 Date: j9-gab/0 <br /> Address: 56 City: Zip Code: <br /> Owner/Operator: - - Telephone: - O <br /> Program Element: ( Program Record: J 6 Qa. Inspection Type: <br /> FI w Rate(gpm : pH � Chlorine(p m . Cyanuri Acid ppm): Temp: - Reinspection on or after: <br /> rte - >o —r>fe� s C Other <Q <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&SafetCode Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <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 �s (fQ <br /> ❑ Decking&Coping - <br /> ❑ Wade Pool-2 Main Drains >� <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/riles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RF.STROOMS <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 /> Innnuup/eent: 3a <br /> j+i�tf �•N01t/)� Time In: // VedVived By/ I n s p e e d b y: <br /> E((lucnt: /_ 15 <br /> o'V Time Out: r3 <br /> i <br /> EHD 36-01 5/26/05 Pagc_of <br />