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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTML..IF <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: q Date: 19 W <br /> Address: 2•V N I# it Zip Code: <br /> Owner/Operator: FakiC4 Telephone: <br /> Program Element: 7� (a Program Record: Q ,�� Inspection Type: r <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 ` <br /> El Pumps Of I W_ <br /> El Chlorinator Qt7/ I/{I/{art jwd k W"d ✓/l( <br /> ❑ Flowmeter <br /> [3 Gauges �`" acs <br /> E] Skimmer&Gutters {aD � � W 40G([w Zla{Nw Qct e--K <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover _ N o �•� <br /> EI Equalizer Line Cover ✓G�v✓ (,jkri, 41M 4 1 ld k r . <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates W1 <br /> ❑ Decking&Coping L�kVi j I r tOt <br /> ❑ Wade Pool-2 Main Drains 10(lIrwIt - <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/Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> --WATER QUALITYtIIIIIIIIIIIIIIIII <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> .. . _ MISCE,LLANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: IS A Yt W Ih <br /> Time In: 1 3 Received fLn pact by: <br /> Effluent: Time Out: <br /> EHD 36-01 7-31-09 SWIMMING POOL OIR Page_of <br />