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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> V[%FOp� <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: f5 -n" Oo 1 Date: -2 -0 <br /> Address: 20 3 rn City: Zip Code: of sa I Z+ <br /> Owner/Operator: ) Yt.i Telephone: 1)1517 -684q <br /> Program Element: 3& I Program Record: to 12p3(o pa_4�0 e'L. Inspection Type: Ln3 4i 6-,%-. <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> $ �� Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps !� <br /> ❑ Chlorinator t r 0 o � U K.* rnU-s w t-+4-A Ct.- <br /> ❑ Flowmeter <br /> ❑ Gauges 5 r Co rn.v� <br /> ❑ Skimmer&Gutters )tom- <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> ❑ Pool Shell )'l.0 4o <br /> ❑ Fencing/Gates <br /> ❑ <br /> Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard 'U <br /> ElPool/Deck Lighting 7�Y' x fl,O C0147 d-rt. LAJ ru � <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/riles <br /> ❑ First Aid Kits c <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 /> ❑ <br /> Supervision&Control <br /> ❑ General Sanitation _ <br /> ❑ Algae <br /> Influent: G� <br /> Time In: 1 26 Received Byo Inspected by: <br /> Effluent: Time Out: 4 5 . �' '-`'"'` � 4' 7"'/k,It t4 <br /> EHD 36-01 05-29-2007 Page I of <br />