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SAN JOAQUIN COUNTY QurDu�K <br /> ENbo.ONMENTAL HEALTH DEPARTM, T <br /> ip <br /> 600 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 /> Nameof Facility: [tt)tN { k'3--R l /¢jyilr r-C 04ga Date: (e ^15'- / / <br /> Address: r pU S, M eNuS '3J- City: 40bl Zip Code: '75-:2 z p <br /> Owner/Operator: 57h)e< x46- /A/C Telephone: 331_1-4( Cr <br /> Program Element: F4 ( Program Record:�2o'3C, Inspection Type: R�.rTrti{ <br /> 6470,elow gpm): pH: -7Chlorine(ppm): Cyan c AGid pml, Temp: Reinspection on or after. <br /> /N •// 33 Other: <br /> ,RECIRCULATION EQUIPMENT The marked olationsrepresent Health &Safety Code Violations and must be corrected as indicated <br /> ❑ Filters tiG ASH P� <br /> ❑ Pumps <br /> ❑ Chlorinator /</KNK t `LS /Rr 0"7-D,204 POOL- K' *00J /MrssiAA:; /n-1cxu.v7z47 <br /> ❑ Flowmeter �/3C1KCuR2DS/¢Np /rUGE T <br /> El Gauges <br /> ❑ Skimmer&Gutters e eT //h A?L-D.5 � <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover 7 c- <br /> ❑ Equalizer Line Cover �� /�A� �i(�yE �mmF�r/1 T <br /> -- _ _; CONSTRUCTION <br /> ❑ Pool Shells;r RIAG /5 SPtit T f9tJD rfA5 /Uo #%PC- /9"IM6MCD <br /> ❑ Fencing/Gates R?e( ,i.l9U RIN N ) Pe olu RoPf 22) <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains C.0 ACIZp.55 HE W/ 7!/ O •T?w e)04 ` o <br /> SAFETY EQUIPMENT I t'r'1/✓1Ebr*'t-4 <br /> ❑ Rescue Pole <br /> ❑ Life Ring ba4 K /VELD I #C 1 <br /> ❑ Safety Signs /1116E75 T .r; /4C-5 6.41rvG. >3MD 6x7T-bsrAAr. <br /> ❑ Lifeguard p p <br /> E] Pool/Deck Lighting RcouG H S U(ZE , /UF/}TjJ �1 g1(� %3 �2p <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles p p <br /> El First Aid Kits J1 #,oa oK Al j f� -10,0 !W& W f" dl1/E Do4T /9-77X <br /> ❑ Emergency Shut-off Switch �r.l.-N <br /> .Cts CORPw a /GGTM r7rgiF« <br /> 11 Showers G oirro C-9Si .419UKe N f NO r M60T SE u2 r r <br /> El Toilet&Dressing <br /> LNiJi�E2 ryfwlEl� r✓+TC<. <br /> F-1 Ventilation <br /> El Chlorine <br /> E] PH <br /> A r9 r <br /> � DCCKC n1r'Kf t 'b <br /> ❑ Cyanuric Acid TRIP 2 q� p5 (/„m r < <br /> El Clarity QRFsSaQE (� E /4 ND tiTi`25 G e <br /> ❑ Test Kits //�� <br /> $ 1.:. N IL)c� IMMFOf <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> g!n <br /> Received B : I sped d by: <br /> Time Out <br /> EHD 36-017-31-09 SWIMMING POOL OR Page of <br />