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SAN JOAQUIN COUNTY <br />r — ? ENVIRONMENTAL HEALTH DEPARTMENT <br />N: < <br />304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br />c., c Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />9L/FORS <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: NDmifl(' P )'MC–it M(T)PIE4)rs Date: C – <br />Address: 2-(7 ( C• R -a City: Zip Code: ?63 i4 <br />Owner/Operator: .a) 6K.4 Q &P-7– Telephone: 3G <br />Program Element: G il Program Record: 1ob,91. VG <br />Inspection Type: Ad -4 j erect/ <br />Flow Rate (gpm): <br />pH: <br />7,/ <br />Chlorine (ppm <br />/Yn <br />C <br />Cyanuric Acid (ppm): <br />ri <br />Temp: <br />Reinspection on or after : <br />Other: <br />RECIRCULATION EQUIPMENT <br />❑ Filters <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />U.(J S ... <br />f <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <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 />❑ Poo/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 />V VA <br />Influent: 8 <br />Effluent: 7 <br />Timeln: I0;40 Rec <br />Time Out: <br />In p cted hv: <br />EHD 36-01 5/26/05 Page — of <br />