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SAN .JOAQUIN COUNTY kin> f?e- <br /> �� E. - dRONMENTAL HEALTH DEPAR ENT <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 /> Name of Facility: L = I Date: U () <br /> Address: O ryyt, — City:tl ilpwvL (,a, Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: ' 7— Program Record: 0'/j7-.? Inspection Type: 44h k% <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Aci ppm): Temp: Reinspection on or after: <br /> 11 r L � � Other: <br /> o . t+L 3v <br /> RECIRCULATION EQUIPMENT The marked violations represent Health &Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter LjS <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters (j% , <br /> ❑ Back Flow Prevention 3 /y I y ' L I 2 a,n�f % A/ �y�l V� �'� <br /> ❑ Main Drain Cover l• V 1 l , <br /> ID <br /> ❑ Equalizer Line Cover U G d a� <br /> CONSTRUCTION , <br /> El Pool Shell ` e '� C l a K +1A _ <br /> ❑ Fencing/Gates '(17 SQ All , Z C41t l( <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains ✓ut V►N�l,l � ' <br /> SAFETY EQUIPMENT' <br /> ❑ Rescue Pole ,� <br /> El Life Ring vbf ( (A 61,4 'k n <br /> ❑ Safety Signs 1 CM J <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS. <br /> ❑ Showers <br /> ❑ Toilet& Dressing <br /> ❑ Ventilation <br /> WATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision &Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: 1 O <br /> [meq Time In: Received B : In ected by: <br /> Effluent: ( Time Out: <br /> EHD 36-01 7-31-09 SWIMMING POOL OR Page <br />