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P4V.ly SAN JOAQUIN COUNTY <br />s� .oti <br />�< <br />EN. <ONMENTAL HEALTH DEPARTN- T <br />. 600 East Main Street, Stockton, CA 95202-3029 <br />"' •,F:: -a' Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />(;/2[--N5 f -A Date: <br />Address: EU Nf) City: 4'&'o b Be r E Zip Code: Z.Y-e <br />Owner/Operator:L)�jD.jRrD44 <br />(;q k� 0[tyt,�Q� iCAT�/iKr/g,Ji PM�rtMTelephone: (s4(,, <br />Program Element: Program Record: 0 .D �@i6.:,5.� Inspection Type: uy-t�6f' <br />Flow Rat pm): <br />Q� <br />pH: <br />to in (p ): <br />Cyanuric Apo (ppm): <br />DoT <br />Temp: <br />o3 <br />Reinspection on or after: <br />7 <br />rr,F E_Ef{{RCULATI'0,; E'.Gl"l7`�; f, EN; <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ <br />Filters <br />© %�OI,Ir71A/4W(RE A/eT Geou.u�FP f�-Nb/,rx+SF'� <br />❑ <br />Pumps <br />❑ Chlorinator <br />❑ <br />Flowmeter <br />fd1n.(pw 4d11)J�EVeL- (Ale.tf INSF/i <br />❑ <br />Gauges <br />y RE hL i -&P t 'Ou fel , 156-t&w !UO <br />❑ Skimmer & Gutters <br />❑ <br />Back Flow Prevention <br />'❑ <br />Main Drain Cover <br />4,noK5 (-,[aepr l9Ct <br />❑ Equalizer Line Cover <br />_ .-CONSTBUCTION: <br />S+P6 04ko2fdL1r 70=) LlokkFe J'cb /-a lo, <br />❑ Pool Shell <br />❑ <br />Fencing/Gates <br />--� <br />❑ <br />Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />- <br />❑ <br />❑ <br />Rescue Pole <br />Life Ring <br />❑ <br />❑ <br />Safety Signs <br />Lifeguard <br />- <br />❑ Pool/Deck Lighting <br />❑ <br />Ladders/Hand Rails <br />❑ <br />Depth Markers/riles <br />❑ First Aid Kits <br />❑ <br />Emergency Shut-off Switch <br />❑ Showers <br />❑ <br />Toilet & Dressing <br />❑ <br />❑ <br />Ventilation <br />Chlorine <br />❑ pH <br />❑ Cyan uric Acid <br />❑ Clarity <br />❑ Test Kits <br />❑ <br />Supervision & Control <br />❑ General Sanitation <br />❑ <br />Algae AA <br />Influent <br />3 NO G+o46f <br />Effluent <br />Timeln: Receive y: Inspect b <br />Time Out: 1% <br />! <br />EHD 36-017-31-09 SWIMMING POOL OR - Page <br />