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pp U,IN SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTIviv-NT <br />304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br />cq ; Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />�/PORN <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: ) //11/(,) &)(PR(-5:5 Ri !/ ^C)P 5P/+ Date! 7-17-c)4, <br />Address: 1 & I ,qr 1) City: Zip Code: 9T 33 p <br />Owner/Operator: '/a %EL 9A 4 J,'W Telephone: <br />Program Element: Program Record: frU&o6/U Inspection Type: <br />Flow (R'ate (gpm): <br />_l J <br />pH: <br />7-9 <br />Chlorine (ppm): <br />17'816Ce <br />Cyanuric Acid (ppm): <br />�U <br />Temp: <br />Reinspection on or after. <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health &Safe Code Violations and must be corrected as indicated: <br />❑ Pipers <br />SUR e( 1 K, 5 r D( 5P4 <br />El Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />/�[�O <br />I R U 1 j, IVU 5 <br />t R z U I c %-(-) rHis <br />El Gauges <br />D6 POR rv+1EW7— <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <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 />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markersfriles <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 />Influent: L) <br />/ <br />Effluent 1`Y <br />Time In: Z : 2li <br />e c e i v i e <br />Time Out: <br />EHD 36-015/26/05 -__l _/ \ r U Li Page — of <br />