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SAN JOAQUIN COUNTY <br /> x. _. <br /> ER '-iUNMENTAL HEALTH DEPARTI Nr <br /> 600 East Main Street Stockton, CA 95202-3029 / <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd (2-4/�b <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: (.t pv� A �tca u CL�i S Date: <br /> Address: ylln- City: 6't: Zip Code: G� ' <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other. <br /> REC:IR lJ_V`,-ATl'o QU PM' NT The marked violations rgresgnt&aIth&Safety Code Violations and must be rrected as indicated: <br /> ❑ Filters � � /` _OA <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges w�e� <br /> ❑ Skimmer&Gutters spy cl <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover FI F5 <br /> ❑ Equalizer Line Cover <br /> _— <br /> ❑ Pool Shell - <br /> ❑ Fencing/Gates < 6y p� <br /> ❑ Decking&Coping t1 <br /> ❑ Wade Pool-2 Main Drains no <br /> ❑ Rescue Pole <br /> ❑ Life Ring /g <br /> ❑ Safety Signs <br /> ❑ Lifeguard , <br /> ❑ <br /> �" ` WtC Pool/Deck Lighting �. <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits tUa W'k/_ Yl �i y gi• <br /> ❑ Emergency Shut-off Switch �bG� <br /> ❑ Showers "(R.� ykez* 4B/0,0 LW�"Vlxle_4 <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation _ <br /> ❑ Chlorine <br /> ❑ PH <br /> ❑ Cyanuric Acid 4wmix, n0 u <br /> ❑ Clarity o � i <br /> ❑ Test Kits <br /> - vbQ ld� l^ e�r�*�a <br /> ❑ Supervision& Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: � i, ,T <br /> ':Time ln: Re elved By: nspected by: <br /> u Bu <br /> Effluent: Time Out: rb _033 <br /> EHD 36-017-31-09 SWIMMING POOL OR Pagel of I <br />