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n.. SAN JOAQUIN COUNTY <br /> E IRONMENTAL HEALTH DEPAR .ENT <br /> t:th 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: /� ,e rS ' 2 Af(r p,4 Mk l Date: _ _I - <br /> Address: On '5'7L- City: �� Zip Code: <br /> Owner/Operator: Telephone: q,qq— y <br /> Program Element: (0 I Program Record: Pao 5 (� �D Inspection Type: e&LE '„-,` <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Tgmp: o Reinspection on or after: <br /> 8S ?rq6 4 FG o, to/ F <br /> Other: <br /> RECIRCULATION EQUIPMENT:.:- The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ®' Filters i <br /> ,[a Pumps <br /> I� Chlorinator Ls n -P r I o yI <br /> Flowmeter <br /> [�] Gauges <br /> [�- Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> EF Main Drain Cover <br /> Equalizer Line Cover <br /> CONSTRUCTION <br /> [�- Pool Shell <br /> Fencing/Gates <br /> Decking&Coping <br /> ❑ Wade Pool-2 Main Drains _ <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> Life Ring <br /> Safety Signs <br /> Lifeguard <br /> Pool/Deck Lighting <br /> [3i - Ladders/Hand Rails <br /> [�- Depth Markers/Tiles <br /> ❑ First Aid Kits <br /> I� Emergency Shut-off Switch <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: a.z. <br /> Time In: to 16 R "B ive; By: Inspected by: <br /> Effluent: I / <br /> Time Out '4' <br /> EHD 36-017-31-09 SWIMMING POOL OR Page 4__0 I <br />