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Pg4!N SAN .JOAQUIN COUNTY <br />ENbIr<ONMENTAL HEALTH DEPARTML-AT <br />" 600 East Main Street, Stockton, CA 95202-3029 <br />�.. ; Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />4GIFORe` <br />ara9on (�)o15 <br />661-�P_ co c1r_ (g 11 <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Y P n S A Date: �_2113-to <br />Address: �rl City: LAID C� Zip Code: C3/ <br />Owner/Operator: fit, to pgch f Telephone: 6%_ (o0 & I <br />Program Element: t 2 Program Record: PV_O3(p05 0 �O d Inspection Type: 2,C) YL0 <br />hFlown ate (gpm): <br />C"_� r]l'�I <br />pH: <br />'1,<i <br />•y <br />Chlorine (ppm): <br />Ib�l f=G a <br />o c o.z <br />Cyanuric Acid (ppm): <br />Pro( BD <br />Temp: c <br />Reinspection on or after: <br />Othe: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />(v� Filters <br />'5 S M ✓r1 y" - r i <br />PumpseLA <br />I <br />POD) 5 r (' hot of Y. f r,tr 4-C <br />Chlorinator <br />Q Flowmeter <br />5 purhpo•# joona&d anA -e -4(.uQn4 <br />[� Gauges <br />no aoautabte C.Omiec,4 ro <br />[v] Skimmer & Gutters <br />❑ Back Flow Prevention <br />r -For <br />[.� Main Drain Cover <br />[� Equalizer Line Cover <br />CONSTRUCTION <br />111j4 <br />Pool Shell <br />R" Fencing/Gates <br />t3 Yt <br />[� Decking & Coping <br />IOOL4f d pnLo torrec+_2 - <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />Rescue Pole <br />[a- Life Ring <br />[vj- 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 />C✓7 Test Kits <br />MISCELLANEOUS <br />Supervision & Control <br />[� General Sanitation <br />Algae <br />���1 <br />Influent: pbok I Q —I3 <br />Effluent: <br />Time In: ��� <br />Ree ed <br />Inspected by: <br />Time Out: (Q: <br />EHD 36-01 7-18-08 SWIMMING POOL OR <br />