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�.�m.. SAN JOAQUIN COUNTY <br />EN .RONMENTAL HEALTH DEPART, .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: NrJnaR2K �l�. l�'�.II AP4& Date: G-ry_/o <br />Address: %.0 1 IS, ak4A1Tki ieCity: 2 Zip Code: S 3?4G <br />Owner/Operator. bI Telephone: <br />Program Element: 3c, (( Program Record: / ro Inspection Type: <br />Flow Rate (gpri <br />lli <br />pH: <br />7 <br />Chlorine (ppm): <br />3 Z < �a <br />Cyanuric Acid (ppm): <br />A/" <br />Temp: <br />Reinspection on or after: <br />Other: <br />- RECIRGULA:T.(QN'-EQUIPMENT . <br />The markedviolationsrepresent Health & SafetyCode Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />�vvii�olationns <br />i �DJ, �ocu rA"SqfbF-5 192E Xb /?*&0 <br />I Ayy� <br />❑ Chlorinator <br />❑ Flowmeter <br />'Z � TIC�' � �O -5r/&w h�ac, s '*crU <br />El Gauges <br />p► U Nt PfR'SoAJS <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />_ <br />!c:447-ALc:447-TXA Sr P$ <br />EI Main Drain Cover <br />PitBerS A;9& Ab7Ta'? 4ENM wrwEp�IT <br />❑ Equalizer Line Cover <br />kt 3) <br />—_- <br />-- <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <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 />RESTROOMS'�: <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />- - - - <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: <br />Effluent: <br />Time In: ��'fj <br />Rece' d By: <br />Ins ected by: <br />Time Out: (f <br />EHD 36-01 7-31-09 SWIMMING POOL OR Page / of <br />Ott <br />