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SAN JOAQUIN COUNTY <br />ENN ikONMENTAL HEALTH DEPART1VIhNT <br />- ` 600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Far: (209) 464-0138 Web: www.sjgov.org/ehd <br />�/FORS <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Date: 3/j _J <br />Address: City: Zip Code: 015 Y'07 <br />Owner/Operator: Telephone: <br />Program Element: Prog m Record: Inspection Type <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetyCode Violations and must be corrected as indicated: <br />❑ Filters <br />Iv <br />. 68 <br />❑ Pumps <br />if <br />q411-- `4144441, o'ed <br />❑ Chlorinator <br />❑ FlowmeterA/F. <br />�'Le 4 U - 3y-✓�^ _ / - <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />< < <br />❑ Main Drain Covera <br />v _ �i>"�hPK Z-a��/� <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />• ` t✓ <br />❑ Pool Shell <br />❑ Fencing/Gates <br />_ <br />' <br />ti <br />❑ Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />s � ,tr (X Vox P -i" <br />E] Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />C•Q.v� - <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />"_u4tr,7-. <br />F-1 Showers <br />Q Toilet & Dressing -- <br />- ❑ Ve11[11a[ion <br />WATER QUA Y <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric <br />❑ Clarity <br />❑ Test sNo- <br />NANEOUS <br />❑&Control <br />L ! <br />❑ anitation <br />❑ Alga <br />Influent: <br />Effluent: <br />Time In: <br />'Time Out:/�I <br />Received By: <br />��.�_ <br />Inspected by <br />nnspecteeeddby }:,� <br />• �,L'6 v" — <br />EHD 36-0105-29-2007 Page ( of 7 <br />