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SAN JOAQUIN COUNTY <br /> >°�rrfrW,00 <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 /> 9r/FORS <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: 4 -(-_S —Gjes po I Date: 17 <br /> Address: 3 rr f._.r` City: 5'{7� Zip Code: q S a I C) <br /> Owner/Operator: h Telephone: 615 <br /> Program Element: 3Cnt2 Program Record: P (L.C;3(o 02do Ll Inspection Type: Tlcltr)-i Yl <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> ,4u c,{_ `1 z �-o FG pendfn9 <br /> Over 1 C7 O Other: <br /> 0- 2 <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑- Filters <br /> Pumps <br /> ' r- _ 4- <br /> [' Chlorinator lR Lain Y rP tP9 e t-r <br /> [yam Flowmeter <br /> a Gauges A r <br /> a Skimmer&Gutters a Too Poo 1 S <br /> a Back Flow Prevention Lj <br /> Ej Main Drain Cover Y'eclosd ej U VI 1-1 I LC �-L4 <br /> ❑ Equalizer Line Cover Ill <br /> CONSTRUCTION <br /> [�- Pool Shell V t S 0. (.Q GLI r✓l.ce. -i J{r aLi n &3 <br /> Fencing/Gates 611p 15 oi,b L <br /> [t� Decking&Coping (� <br /> ❑ Wade Pool-2 Main Drains h 0 <br /> le <br /> SAFETY EQUIPMENT V1 0r yrl 6Lrkt r ( r <br /> Rescue Pole <br /> Life Ring , <br /> [� Safety Signs <br /> ❑ Lifeguard tJ /a- rS W rC <br /> [� Pool/Deck Lighting ko}v _p <br /> Ladders/Hand Rails 0 _ <br /> Depth Markers/Tiles r n Pro <br /> First Aid Kits TLOW <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> ❑ Showers f-} <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> WATER QUALITY <br /> ❑ Chlorine <br /> 0 pH <br /> [1]' Cyanuric Acid <br /> Clarity <br /> Test Kits <br /> MISCELLANEOUS <br /> Er Supervision&Control <br /> 0 General Sanitation <br /> Algae <br /> Influent: I <br /> Three In: eceived By: Inspected by: <br /> g l n z 5 _ � �� ''yam <br /> Effluent: 64 <br /> Time Out: 10:LlOI&Aot-_ I I lGLtn <br /> EHD 36-0105-29-2007 Page of <br />