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n. SAN JOAQUIN COUNTY <br />EI RONMENTAL HEALTH DEPAR .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: ZqAdW4 <br />ui� <br />Date: <br />Address: 5 <br />0 City: o <br />Zip Code: <br />S <br />Owner/Operator: <br />Telephone: <br />Program Element: Program Record: 3603 xb <br />Inspection Type: B <br />M/026 <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULAT g#-T,� <br />The marked violations represent Health & Safety <br />Code Violations and must be corrected as indicated: <br />❑ Filters <br />71104, A44--j <br />�i� <br />Q�� J a <br />-n <br />Ll Pumps <br />` <br />J 6,oe <br />�( <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />C , *Aew is <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />�` O <br />J <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />wcs�w <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />Z`t SKirt✓t 2° <br />❑ Depth Markers/Tiles0 <br />z <br />Ztx,r.ij , <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />R E ST.:O O MS: <br />❑ Showers <br />❑ Toilet_& Dressing <br />❑ Ventilation <br />, <br />4 <br />WATER QUALITY <br />❑ Chlorine _ <br />❑ pH <br />❑ Cyanuric Acid _ <br />❑ Clarity <br />t� <br />ak ?L- �Gp� y. AF; / oma, <br />_ <br />+ <br />' <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Alga <br />l <br />Influent: //AA <br />Effluent: <br />Ime In: Rec ed By: <br />Time Out: <br />Inspected by: <br />EHD 36-01 7-31-09 SWIMMING POOL OR \ Page -L- of 1 <br />