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SAN JOAQUIN COUNTY <br />I <br />' ER .RONMENTAL HEALTH DEPART, AT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: 1. ' <br />-'-- ( W.f/S-�' <br />Dale: 6 -1 _ <br />Address: a <br />(�1 d 7 <br />n.F'- City: _6 �1; <br />Zip Code: 9 5 2 L-/ 2- <br />Owner/Operator: <br />e rf' ,L O LtiG <br />Telephone: 3/a _lI? <br />Program Element: (��/ <br />Program ecord: P120,3& 97 Inspection Type: - <br />Flow Rate (gpm): <br />pH: <br />y <br />Chlorine (ppm): <br />3 4o FC <br />-d- cc <br />Cyanuric Acid (ppm): <br />O <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 />� Pumps <br />'mrnLr <br />C 0 <br />b <br />Chlorinator <br />P- Flowmeter <br />' riO <br />R� Gauges <br />b <br />(D' Skimmer & Gutters <br />❑ Back Flow Prevention <br />C <br />S rn L 0.A <br />�tt <br />) �� Ci p i I <br />[� Main Drain Cover <br />a <br />E9 --Equalizer Line Cover <br />CONSTRUCTION <br />0 Pool Shell <br />[g�' Fencing/Gates <br />EP' Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT " <br />Y R <br />S - Y <br />OVR r <br />❑ Rescue Pole <br />❑' Life Ring <br />a Safety Signs <br />❑ Lifeguard <br />11 <br />C x-201 140-r :7 <br />Pool/Deck Lighting <br />[� Ladders/Hand Rails <br />[� Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />- <br />❑ Showers - <br />❑ Toilet & Dressing <br />_0 Ventilation <br />L6t C <br />r <br />WATERS QUALITY <br />Q- Chlorine <br />vi a <br />C3 pH <br />[� Cyanuric Acid <br />Clarity <br />Test Kits <br />MISCELLANEOUS <br />Supervision & Control <br />Q General Sanitation <br />[� Algae <br />Influent: Zw <br />Effluent: <br />Time In:,'t�'(fv Received By: <br />Time Out: ,J tp Q <br />Inspected by: <br />a.tn " 4(A C_ <br />EHD 36-01 7-31-09 SWIMMING POOL OR <br />Page I of _j <br />