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SAN JOAQUIN COUNTY <br /> r` E RONMENTAL HEALTH DEPAR-. -NT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> e�'. Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> �h SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: A mk &aff Date: ZZ-D(.,//o <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephon 2p 2 <br /> Program Element: Program Recor . V b Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): I 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 /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges 44jill. <br /> ❑ Skimmer&Gutters � � 0 <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION y� <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2 Main Drains <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 /> 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: <br /> Time In: b;<<j Received Inspected by: <br /> Effluent: a , !� <br /> Time Out: d v( Z 4�- <br /> EHD 36-01 7-31-09 SWIMMING POOL OIR Page_4 of <br />