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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />\ - 600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />9C/FORS <br />SWIMMI_NG POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: P3& 2 LVL4 czc, g S Date: C _ <br />Address: jKW^+Vrl City: IC• Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: Program Record: Inspection Type: <br />Flow Rate (gpm): <br />1; h V - 14'j 06) <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />f a...t. / <br />❑ Pumps <br />JA o2a,tio, Tky/ �[p n6 _ <br />_ ❑ Chlorinator <br />El Flowmeter <br />cjLC't.X _- _ 1 �p /& <br />l' <br />❑ Gauges <br />��..�{p,��y„I Qc� p- 5 ✓ ' (/,VJ e: f j <br />❑ Skimmer &Gutters <br />❑ Back Flow Prevention <br />d <br />❑ Main Drain Cover <br />..� -(DWca-rc,tN .Cr (614ki W p.� <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />3 <br />❑ Pool Shell <br />❑ Fencing/Gates <br />//-- <br />❑ Decking & Coping <br />- ) (e t <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />.y C C/cc. <br />❑ Rescue Pole <br />r( n J <br />bO C Y '(�+�t CL>{/b LAJ <br />❑ Life Ring <br />❑ Safety Signs <br />.k.0h y{ ,� <br />E] Lifeguard <br />rat <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ DepthMarkers/Tiles <br />rlk k 4S c k re S ya ' <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />CT <br />L A\ t L i <br />'(7 ALEX-- y)k4-I a4zV4 <br />WATER QUALITY <br />❑ Chlorine <br />3 a, � �x% (O � _ 7 03 <br />o <br />❑ PH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />'fluent <br />Time In: <br />Re eiv d By: <br />Inspected by: <br />Time Out:�-- <br />36-01 05-29-2007 1 Page — of <br />