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SAN .JOAQUIN COUNTY <br /> EN. ..<ONMENTAL HEALTH DEPART%. JT <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 REPO T <br /> Name of Facility: Date: 07 01 �© <br /> Address: z s ryvu City: PA a Cr-(_ Zip Code: s33& <br /> Owner/Operator: br , p 2 �- Telephone: <br /> Program Element: 3( Program Record: P 9 '36 4 0 7 7 Inspection Type: 11qtr <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health &Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters Poo _5& 00 '77 6 Ittl <br /> L1 Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter _ <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters Ga-, .0 <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> ❑ Pool Shell -- <br /> ❑ Fencing/Gates 3 <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> `T`'SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting _ <br /> ❑ Ladders/Hand Rails - � 3 <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> ' RESTROOMS .S YO&C7 ajW S h014 <br /> ❑ Showers Cm / /yl <br /> ❑ ToiletB Dressing _ .-$�-F /e 6 <br /> ❑ Ventilation CY <br /> WATER QUALITY /514 A 110 5 u �/ a <br /> ❑ Chlorine _ L <br /> ❑ pH - L / Awl <br /> ❑ Cyanuric AcidC6 W1 kJ��j,j 5 ��7 .e n WtI't Ovelaw/ <br /> ❑ Clarity <br /> ❑ Test Kitsn '� C L� 7� G ��u/ <br /> MISCELLANEOUS <br /> 0Mi S a- s-&tA � O✓\ tJ dv. aO 0 i <br /> ❑ Supervision &Control / <br /> ❑ General Sanitation ar C LO / 'v f <br /> ❑ Algae <br /> Influent: <br /> Time In: Q 0 Received By: In p ct by• <br /> Effluent: <br /> Time Out: <br /> EHD 36-01 7-31-09 SWIMMING.POOL OR Page_of <br />