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SAN JOAQUIN COUNTY <br />a _ < <br />EI kONMENTAL HEALTH DEPART' AT <br />• 600 East Main Street, Stockton, CA 95202-ou29 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility:Qjft�,))A <br />4P Date: i(3 • f I <br />Address: <br />C <br />City: <br />Zip Code: <br />Owner/Operator:iof C V, Telephone: <br />Program Element: Program Reco Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: I <br />Reinspection on or after: <br />Other: <br />M,Etizi7l <br />The marked violations represent Healttham& Safety Code Violations and must be corrected as indicated: <br />El <br />IUMPs <br />iix� Vi {ill bu �(nti c �iU <br />O <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />�/ <br />1f� �.j % (� 14- -1 <br />E] Skimmer & Gutters <br />❑ Back Flow Prevention <br />{} / ,; _{} <br />�t6C vC./ <br />E] Main Drain Cover <br />❑ Equalizer Line Cover <br />❑ Pool Shelf <br />❑ Fencing/Gates <br />%ZLZL CA SI C:G <br />❑ Decking & Coping <br />i,9 <br />❑ Wade Pool -2 Main Drains <br />-T <br />❑ Rescue Pole ; <br />i <br />�7 <br />❑ Life Ring <br />❑ Safety Signs <br />_ <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />ax �uM <br />❑ DepthMarkers/Tiles <br />/J�p / <br />Ei,.Q , fib <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />....•A' <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation - <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity, <br />❑ Test Kits <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />44 <br />Time In: ry: SURede <br />ved By: <br />Inspected by y1 <br />�J 40 V <br />Time Out: �C, <br />EHD 36-01 7-31-09 SWIMMING POOL O1R r ` <br />Page 1 of r <br />