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SAN JOAQUIN COUNTY <br /> ENVIK—NMENTAL HEALTH DEPARTMEI _ . <br /> • 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fan: (209)464-0138 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: A&Ztk- Date: /e/ <br /> Address: `a p ax City: Zip Code: E � <br /> Owner/Operator. (,!/ Telephone: fy- / <br /> Program Element: Program Record. 6 Q 3 ( Inspection Type: <br /> Flow Rate(gpm): p : 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 /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter — <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION _ <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates — <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2—MainDrains Q � 0. <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 /> --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 /> ❑ <br /> Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Timeln: S'Q M Received By: Ins c ed by: <br /> Effluent: 4ZI Z!�t-L <br /> Time Out: /^ <br /> EHD 36-01 7-31-09 SWIMMING POOL OR Page_of_ <br />