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V .1f. SAN JOAQUIN COUNTY <br />` Et. .RONMENTAL HEALTH DEPART. :NT <br />'c� 600 East Main Street, Stockton, CA 95202-3029 <br />, Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />1144 <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: he y -e <br />nua d -o W S +f> — _,x, -h <br />Date: i. _ <br />Address: V <br />LAt a City: <br />Zip Code: 2 <br />Owner/Operator: 41A if <br />9 <br />Telephone: ale 9_p ?3,Ll, <br />Program Element: 7�(( 3111; 12Program Record: PP. 03(oDSfoO 0-3 (m aX�la Inspection Type: <br />Flo F ate ((gm): <br />5 <br />pH: <br />Chlne (ppm): <br />spq <br />(o.O FC 2-(; <br />t3- cc O. 2 <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 />L] Pumps <br />.K <br />O r r <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />�p r (� O <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />O QC�O v <br />o <br />❑ Main Drain Cover <br />Ili a�r <br />1'SiDa st_ti160c� •c <br />duc n -h <br />❑ Equalizer Line Cover <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />s Ot �^ )'1-i' n oA 'J o e, )U k2 <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />001 s A 2 v1% LL1.l <br />nIT W <br />[j Rescue Pole _ _ <br />❑ Life Ring _e. <br />❑ Safety Signs <br />r Pot) l i rLO <br />C r n Lat C <br />❑ Lifeguard <br />YO <br />12 Cx2I <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 />". 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:(� C,U Received B <br />Time Out: Io: rD <br />Inspected by: <br />o -m kly,Jz 't- <br />EHD 36-017-31-09 SWIMMING POOL OIR Page I Of I <br />