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SAN JOAQUIN COUNTY <br />2� ENVIRONMENTAL HEALTH DEPARTM, i'VT <br />600 East Main Street, Stockton, CA 95202-3029 <br />oq. p Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />[rFOPd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Lk)0 r; <br />y A Date: <br />-07 <br />Address I q 0 " 12 r <br />ti city: <br />t-; ,el Zip Cade: 9'52_6 .? <br />Owner/Operator: K n + ' 0,il E <br />Telephone: <br />Program Element: 2 Program Record: P e 6,7/0 3 .p <- Inspection Type: <br />v.hn <br />Flow (Ratee (gpm): <br />91 <br />PpHH ) •7 <br />t�Chlo'ne (ppm):, <br />;. 0 <br />Cy�anoi c Acid <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />/ <br />9, <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />Z n - <br />/< <br />❑ Gauges <br />d <br />S <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />Pool Shell <br />_❑ <br />❑ Fencing/Gates <br />Aad <br />- <br />❑ Decking. & Coping <br />- <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />a� <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 />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae' <br />t/J� <br />Influent: �!f� I ) PS 1 Sr� <br />.•^rr <br />Effluent: / , I'�/ ( <br />0 ( 7 <br />Thne In: t7, 50 Received By: <br />Time Out: 'l o ; <br />