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SAN JOAQUIN COUNTY <br /> ,RONMENTAL HEALTH DEPART. _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 /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: .l - _ Is PCX . Date: <br /> Address: C ?J ,,P— City: Zip Code: <br /> Owner/Operator: y- rLPm +- Telephone: cl <br /> -712- <br /> ]12- 2 9 <br /> Program Element: 3 « ProgramRecord.J 19R Inspection Type: 'I 1 <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: o Reinspection on or after: <br /> l (v (s y ll 104 F <br /> O--2, C-� q Q Other: <br /> RECIRCULATION EQUIPMENT_!= The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> � Filters <br /> Pumps I W r ' <br /> i <br /> (t� Chlorinator _ <br /> ❑ Flowmeter <br /> [J Gauges <br /> [�] Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> 2- Main Drain Cover <br /> 2� Equalizer Line Cover <br /> I� Pool Shell <br /> Q" Fencing/Gates <br /> [a Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT <br /> Rescue Pole <br /> [� Life Ring <br /> [a Safety Signs <br /> ❑ Lifeguard <br /> [� Pool/Deck Lighting <br /> [a' Ladders/Hand Rails <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 /> E�'- Cyanuric Acid <br /> [Y Clarity — <br /> Fq Test Kits <br /> MISCELLANEOUS <br /> F-1 Supervision & Control <br /> [� General Sanitation _ <br /> Algae <br /> Influent: ad li <br /> a5 <br /> Time In: � 1 U Re eived By: Inspected by:- " <br /> Effluent: Time Out:/) � ad PjaA-�"`��w.�ltu I <br /> EHD 36-01 7-31-09 SWIMMING POOL OR t,7Page ( of <br />