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DwL <br />gtn. SAN JOAQUIN COUNTY <br />= Et\ RONMENTAL HEALTH DEPART _NT <br />600 East Main Street, Stockton, CA 95202-3029 <br />2. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: j'W / U <br />(i;3c I�' / L.ET (� (:?I -U 3 Date: -4-4f <br />Address: C� S / ', <br />(,V5 r City: Zip Code: <br />Owner/Operator:W/-t1md: N L Telephone: 3314-q&97 <br />Program Element: IP CIO <br />Program Record: roc -c> Inspection Type: (/n M pk,4eA rr <br />Flow Rate (gpm): <br />pH: <br />Chlo (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspection on or after: <br />Nib <br />Other: <br />.RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safetyt�Code Violations and must be corrected as indicated: <br />❑ <br />❑ <br />Ll��op'Fj <br />_ Filters _ <br />Pumps <br />Chlorinator <br />CIAK't J�/:'t 5 O(,t� j k y� <br />'tr',,.' <br />u 2� 4-0tetG-25 'fj_&4cf J'li'� t a" d jA'� <br />❑ <br />Flowmeter <br />❑ <br />Gauges <br />❑ Skimmer & Gutters <br />❑ <br />Back Flow Prevention <br />©� �o J�p� %f n-5 v.Cr /.0 4-�R <br />❑ <br />Main Drain Cover <br />5V1f4''- 19W1rt"#t' a G£GEni 6 6N g°Mtit <br />❑ Equalizer Line Cover <br />/9fV 1:1 4 Bi H 1-6 Re -move /34&494 <br />❑ Pool Shell <br />❑ <br />Fencing/Gates <br />h kf CJa R Ia5r0► iT <br />❑ <br />Decking & Coping <br />n•- <br />❑ Wade Pool - 2 Main Drains <br />" <br />SAFETYEQUIPMENT" <br />❑ <br />Rescue Pole <br />lN�?� P�� /5 AZIT L'AOuA l9l Th''S TlAi <br />❑ Life Ring <br />❑ <br />❑ <br />Safety Signs <br />Lifeguard <br />e1$;Pl4 RE (?vR RePT r�jC�c ✓ ; <br />C�onrB/ti0 C/ NGGt/uE /5% / TA/15rhes?' <br />❑ Pool/Deck Lighting <br />❑ <br />Ladders/Hand Rails,_O <br />�F DEPT��� ��5 ' t? J�S. b <br />❑ <br />Depth Markers/Tiles <br />/o! <br />pE � s'�-/' '— �OctA-_Z &Z,0k/NE (319df <br />First Aid Kits <br />El` <br />❑ <br />Emergency Shut-off Switch <br />/ti 7'z> T -t O _ /O O R19yc� <br />t� <br />RESTROOMS'. <br />❑ Showers <br />❑ <br />❑ <br />Toilet & Dressing <br />Ventilation <br />WATER QUALITY- <br />❑ <br />Chlorine <br />❑ pH <br />❑ <br />❑ <br />❑ <br />Cyanuric Acid <br />Clarity <br />Test Kits <br />- <br />MISCELLANEOUS <br />❑ <br />Supervision & Control <br />❑ General Sanitation <br />❑ <br />Algae <br />Influent: <br />Effluent <br />Time In: 9-`�✓ <br />Received By: <br />In ct d by: <br />Time Out: <br />EHD 36-01 7-31-09 SWIMMING POOL OR <br />�U/ <br />Page ( of <br />