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oaa�n. SAN JOAQUIN COUNTY <br /> x•� .o <br /> EN _ ",tONMENTAL HEALTH DEPARTh.-_,JT <br /> ,. 600 East Main Street, Stockton, CA 95202-3029 <br /> ;ko= Telephone:(209)468-3420 Fax: (209)464-0138 Web:www-sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: P7--5 _.CalB,t1�•{•• j(,f Date: —7— / — /� <br /> Address: a081) S LV/Pgl /t)h j City: Zip Code: S 2 E/x <br /> Owner/Operator: /(f5y6Q6 r'1Er9C'u5 /91,T-5 Telephone: 5Ql-0?7y <br /> Program Element: Program Record: Inspection Type: <br /> Oq Flow Rate(gpm): pH: Chlorine(pp ): Cyanuric Acid(ppm): Temp: Reinspection on or after. <br /> ;0.6E.fse 7 ,o rEss>lt�ya 30 7� <br /> Other: �— <br /> =CIRC-LEwLkj�M-._.""a, The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters /�'1 �l- /,N� G�Phn <br /> ❑ Pumps C_,/ /yy)tr_ Cy/Pr lti TyF '/n./s'Ws <br /> ❑ Chlorinator ,q1 L T /i pa�L S,Tcrps, RE�rR <br /> ❑ Flowmeter <br /> ❑ Gauges l �'L gNp S r? Nrs Raj'�2 Fay l0-1-l2 , <br /> ❑ Skimmer&Gutters seq eNA s 7DUlo40 7n 7&sT /3No pbqt- cr-c v <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover r"-"4 A i if-D 9" 6 yS �V& C- <br /> ❑ Equalizer Line Cover <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Caping <br /> ❑ Wade Pool-2 Main Drains <br /> ❑ Rescue Pole <br /> ❑ Life Ring <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 /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation - <br /> Da._ <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> ❑ Supervision &Control _ <br /> ❑ General Sanitation <br /> ❑ Algae I k' / <br /> 7 !G/j�l.on/ �FJ�Oal,vc �!-�pFf� �T�'N.fl itis <br /> Influent A) / <br /> AA <br /> Time In: Re v By: Ins cted by: <br /> Effluent: ` <br /> Time out: <br /> EHD 36-017-31-09 SWIdMING POOL OR Page_of <br />