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SAN JOAQUIN COUNTY <br />z< ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />4ltFOR� <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: (N O yj / n PDA Date: <br />Address: /19 .v- ��„� City: 4zb! ter' a Zip Code. <br />Owner/Operator: X0 —'7m.6 q n ,ro r. v o o Telephone: L3 o1 y/ 3 <br />Program Element: 3611 //-_7- Program Record: p g(p 0557 3Pi O SS (m Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />Monne (ppm)SP�Cyanuric <br />(� ovcr <br />Loo <br />Acid (ppm): <br />Temp: <br />Reins action 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 />❑ Pumps <br />B /mk �w ' $ - -7--6-7 <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />/ 00 OUA"-Pi +. ' <br />6rytlL <br />Equalizer Line Cover <br />F1Equalizer <br />CONSTRUCTION <br />pro <br />❑ Pool Shell <br />❑ Fencing/Gates <br />r <br />Ca) 00 � 5 1'L n'f7 1te'� <br />❑ Decking & Coping <br />&?I +Lk,.12 MP V t'0 V -i - <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />ElRescue Pole <br />- / ACZej. <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />(,t„t (a` <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />h� , n <br />t r l to ui2^F7 <br />RESTROOMS <br />Lv V Ls 6* 354-hoPL0 <br />❑ Showers <br />❑ Toilet & Dressing <br />ri4vi ^ "h^)A r1 I U <br />❑ Ventilation <br />.0 _ I <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: <br />Effluent: <br />Time In: 10:05 <br />Received y: Inspected by: <br />_Z //lay` c/ <br />c' <br />Time Out: 1 <br />ERD 36-01 05-29-2007 Page L of <br />