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4,a SAN JO'AQUIN COUNTY <br /> '. EN'S ,ONMENTAL HEALTH DEPARTN,. JT <br /> '. '. 600 East Main Street, Stockton, CA 95202-3029 <br /> ;�. Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.orglehd <br /> WIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: , ALW NbA- Date: S 1 <br /> Address: City: 'zrl Zip Code: ,g <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: A731 0.22 <br /> Flow Rate(gpm): pH. Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspifection on or after. <br /> Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters _ L44,,t.F 0, �-t <br /> ❑ Pumps S <br /> ❑ ChlorinatorD � f'Q— fi-4 <br /> ❑ Flowmeter r ?wz 6� t <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters �'t pyV <br /> ❑ Back Flow Prevention �— <br /> ❑ Main Drain Cover V <br /> n <br /> ❑ Equalizer Line Cover <br /> jl CORPTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Copingzc�i / <br /> ❑ Wade Pool-2 Main Drains (f/ <br /> -SAFETY,EQUIPMENT �fyr,�(,� lz �L f <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard /� i <br /> [IPool/Deck Lighting ;q, A/` <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles !N e <br /> ❑ First Aid Kits � <br /> ❑ Emergency Shut-off Switch �J <br /> v x❑ Showers ' <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> WATER QUALIT <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> -_MISCEL AI ii <br /> ❑ Supervision& Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Time in: Received By: Ins cted by: <br /> Effluent: Time Out: ` &' Q9 3 <br /> EHD 36-01 7-31-09 SWIMMING POOL OR Page of-�- <br />