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SAN JOAQUIN COUNTY <br /> Z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �... P. Telephone: (209)468-3420 Far: (209)464-0138 Web:www.sjgov.org/ehd <br /> 9GiFSP? <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Extk<'� A Date: —(el -p <br /> Address: rol rlY- . City: Zip Code: <br /> Owner/Operator: A, F-t.nn+- Poo GS-e�_ '<-Jt._ y 3— 17 y Telephone: _ <br /> Program Element: 3(0 ( Program Record: P A-0 .5 P pDo Inspection Type: �4 •B-,.L <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges ' n <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention I r �Q <br /> ❑ Main Drain Cover 6ai0.+e- 0. cJ <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates h e •o-n s Co r Y -e. <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2 Main Drains O r k d rk "wi ti <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole D C <br /> ❑ Life Ring 1 (Cl:54iC- '�',,f42clit'ct4y r r" <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ 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 /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Innuenu <br /> .Q R c ived B Inspected by: <br /> Time In: 17 II <br /> Effluent: [TimeOut: <br /> EHD 36-0105-29-2007 Page of <br />