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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> [� 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Far: (209)464-0138 Web: www.sjgov.org/ehd <br /> 9��FOR� <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: JE� Date: (V g p <br /> Address: City: Zip Code: <br /> Owner/Operator: Telepho <br /> Program Element: ?j(gFq Program Record: 3Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> RECIRCULATION EQUIPMENT he marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ <br /> Pumps r �[-LY�..¢ <br /> El Chlorinator ,, 2& /4— La�GC�� pqP <br /> ❑ Flowmeter 4 <br /> ❑ Gauges � `� � � <br /> E] Skimmer&Gutters OL— GJjlD-(,C e4.06- zrz.C�Z2&_ <br /> ❑ Back Flow Prevention ., J. _CL ® _ <br /> Main Drain Cover <br /> El Main �y I �C� �4 <br /> ❑ Equalizer Line Cover ,2 Le- <br /> CONSTRUCTION - <br /> _ ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2 Main DrainsA4A:jmt <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole 19 <br /> ❑ Life Ring <br /> ❑ Safety Signs i <br /> ❑ Lifeguard / �ivwux <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Railsw <br /> ❑ Depth MarkersMles <br /> iv <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> ❑ Showers <br /> ❑ Toilet&Dressing b <br /> ❑ Ventilation " <br /> WATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ <br /> Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent <br /> Time In: b: h ece'v B Inspected by: <br /> Effluent V / / B� <br /> Time Out: �� (��Qt.G°'2.Ct/1 s► I <br /> EHD 36-0105-29-2007 Page,�of I <br />