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>4pt" SAN JOAQUIN COUNTY <br />? EN , .RONMENTAL HEALTH DEPARTM,i ,NT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />,IIFOr•a <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: 241A Date: <br />Address: s a City: Zip Code: 5 <br />Owner/Operator: VTelephone: <br />Program Element: Program Record: Inspection Type: ,3 <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <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 />4� <br />❑ Pumps <br />v t f <br />S' t <br />El Chlorinator <br />❑ Flowmeter <br />U <br />❑ Gauges <br />r <br />❑ Skimmer&Gutters <br />❑ Back Flow Prevention <br />lr <br />dAAA4�4_ A6 <br />❑ Main Drain Cover <br />ElEqualizer Line Cover <br />r <br />+ <br />,. CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />V AB r <br />❑ Rescue Pole <br />GCGCI� � Z" <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />•. W <br />❑ Pool/Deck Lighting1 <br />❑ Ladders/Hand Rails <br />/I t + + <br />a"14 <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergencv Shut-off Switch <br />., /% /1 <br />'� [%�'�/K/L.P"i� <br />�'RESTROOMS <br />�/ + <br />❑ ShowersARA <br />❑ Toilet & Dressing <br />❑ Ventilation <br />t <br />-WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kit, <br />MISCELLANEOUS <br />6L GUGGi Q <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: <br />R eived <br />L_ ��� <br />Inspected by: <br />/ /r'^�e.�, <br />/ <br />Time Out: <br />EHD 36-0105-29-2007 / Page J of <br />