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ipSAN JOAQUIN COUNTY <br /> EN% .ONMENTAL HEALTH DEPARTN, T <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: liJ/AfL/REb(Z5 �-ftyc I-u[ Date: Z-/8+ I <br /> Address: 19OQ S, 'TL(fIH/N5 5 T City: Zip Code: Cr5 40 <br /> Owner/Operator: $ ARE 7761E /NQ Telephone: 3 <br /> Program Element: 74 If Program Record: lORc 3(an 20 Inspection Type: E rNS AW 774t/ <br /> Flow Rate(gpp/m��): pH: 'f/ Chlooriinef(plpm): Cyanuric Acid(ppm): Temp: Reinspectionr. <br /> / on or after. <br /> I1V /C.� /ry Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters RZEutou5 vcdd-,R`J/auS eoleP-&7--t1 E 6PP % <br /> ❑ Pumps <br /> ❑ Chlorinator / 501m fWK A,6.196 A) �. <br /> ❑ Flowmeter <br /> ❑ Gauges 77&- 7- 70 -74tAf(&l-' r 114,64C I Wp",eb rpJTZrc <br /> ❑ Skimmer&Gutters (0 Ak)P-77f C;-r85j 69R 1":rAle) 77?9e11A*P7- <br /> ❑ Back Flow Prevention @P13rR TO <br /> ❑ Main Drain Cover �p <br /> ❑ Equalizer Line Cover LM-A, Lt 7- 6o1 /�/-i �Uip•p� Aj eLrT 1- <br /> E`-_ - C Shell CTI,ON:__ ,.._ IAlS 7'Yf SOLI /?AI�+t,{e A'. /3 (bAR40-7t <br /> ❑ Pool Shell <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 /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/files <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> M I S ELLA N E O U. <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: a '�� 2_ <br /> Timeln: Q Received B Ins a ted by: <br /> Effluent: � Time Out: 15' x — ---- <br /> EHD 36-017-31-09 SWIMMING POOL OR Page of� <br />