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SAN JOAQUIN COUNTY <br />ENVIK--MENTAL HEALTH DEPARTMEIti, <br />'. 600 East Main Street, Stockton, CA 95202-3029 <br />• M,IFORN~ Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SWLMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Date: <br />Address: R City:Ydli�vZip Code: <br />77 pp <br />Owner/Operator: Telephone: e�Zlj FS3lj <br />Program Element: <br />Program Record: 00 Inspection Type: <br />Flow Rate (gpm): <br />U SCS <br />pH: <br />Chlorine (ppGm): <br />•� CC- <br />Cy/anuric Acid (ppm): <br />Temp: <br />Reinspection on orr after: <br />� `✓o`B"d <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 />❑ Chlorinator <br />❑ Flowmeter <br />— <br />❑ Gauges <br />n <br />�1/z * <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />^ < <br />e� <br />❑ Main Drain Cover <br />!mow <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />Ll< <br />U L <br />❑ Pool Shell <br />❑ Fencing/Gates <br />p 4 <br />❑ Decking & Coping <br />cylt <br />❑ Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />G+iLQ <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />'�— <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 />Influent: <br />n_ <br />� ✓ � <br />Effluent:I� <br />I <br />Timeln: f�Pvt7 <br />Receive y: <br />Inspe!•.t�d by: <br />Time Out: <br />EHD 36-01 7-31-09 SWIMMING POOL OIR Page — of <br />