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. . ;4SAN JOAQUIN COUNTY <br /> " ` E RONMENTAL HEALTH DEPART .NT <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: Date: /0 7/ <br /> Address: 6 City: , Zip Code: $ <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type:/ 516,16 <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after. <br /> Other: <br /> The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters e y) 4 �J (� Q - / <br /> ❑ Pumps <br /> ❑ Chlorinato - Olt OK L] Flowmeter a A)Q,y A ,,Q <br /> ElGauges rf I <br /> ❑ Skimmer&GPters 3 rt d t ('S KP <br /> ❑ Back Flow Prevention / df2C� <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> 2 a W) C 1_�CJt 144 Apt t Atra7 (amu <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains ,Q/.� r6 Wutww <br /> ❑ Rescue Pole 3 A4w M � <br /> ❑ Life Ring Pk � ,J� <br /> C3 Safety Signs 3 'A',(/t(t,/t,p yt p � C <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting ' ' Vit �l W <br /> ❑ Ladders/Hand Rails vuC< - Va <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits Gx .6 <br /> ❑ Emergency Shut-off Switch y/, � qH� <br /> U41SOC., J�X.,Lic{ntiJvn.wr.� <br /> J <br /> El Showers /N' <br /> ❑ Toilet&Dressing A l ��/ i ou / <br /> �2e� � ire-.�s ,.c,,��eh�. <br /> ❑ Ventilation _ <br /> Tn dr 'R,� t1 Lei: fDUL ht6E71 031020 /ZeUU7E44S1l13. <br /> ❑ Chlorine <br /> ❑ pH 1ilk <br /> E] Cyanuric Acid (i�)~Ot l o <br /> ❑ Clarity D g <br /> ❑ Test Kits 446-" � <br /> Olt Com �& ^&.e, <br /> ❑ Supervision it Control -/-0 �� <br /> El General <br /> l Sanitation nn <br /> ❑ Algae <br /> Influent: <br /> DLJ �I�T DI�®�Gt Time In: Recei li nsp cte� ed by: <br /> Efflue t IIIL}�1 I Ivt-fM"`D�/�/� <br /> Time Out: q(o V---0-33 <br /> EHD 36-017-31-09 SWIMMING POOL OR Page of_ <br />