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n .!n SAN JOAQUIN COUNTY <br /> Er CONMENTAL HEALTH DEPART AT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> � •a'' Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: LAO:244,-, Date: <br /> Address: _ 1-ptrY1e Clty: <-*yj Zip Code: <br /> Owner/Operator: Telephone: q 52 _S X (4 <br /> Program Element , Program Record: (,� 3�i(^j) �, Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: Pen d+no <br /> RECIRCULATION EQUIPMENT:,; The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps aS o 1 <br /> ❑ Chlorinator r_ y O o-Q 2-- -7 co rrL c <br /> ❑ Flowmeter <br /> ❑ Gauges 9'2- GG <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention d 1 <br /> ❑ Main Drain Cover OlK <br /> ❑ Equalizer Line Cover Fc- 9 .0 C t O ,q U,,1-Q ,2-3 ' 5- <br /> CONSTRUCTION <br /> ElPool Shell C- --0 Ove r 10 (7 O <br /> ❑ Fencing/Gates 1 rti f I n <br /> ❑ Decking &Coping <br /> ❑ Wade Pool-2 Main Drains <br /> ' r. SAFETY:EQUIPMENT ' ; , L _ 1 <br /> Ll Rescue Pole pp iSt <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard 'J <br /> ❑ Pool/Deck Lighting 1Jo ?-411 'a 3 Gorrec <br /> ❑ Ladders/Hand Rails T'4 I F 1 <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits -7 . 0 G g} C A f a a <br /> ❑ Emergency Shut-off Switch <br /> RASTROOMS <br /> ❑ Showers _ _ _ 0.K +o i -6 pe,--) D e Lib <br /> ❑ Toilet& Dressing <br /> El Ventilation (�© r-K_ &rl +kz �D t Lo"k); 7 ✓C P2 h IU2 S `L <br /> - „ ; WATER QUALITY YIO ✓'t'�1 OO IS <br /> ❑ Chlorine /_ <br /> E] pH--- -- - 1 pYlns; CFV .e✓) <br /> ❑ Cyanuric Acid ® 6t-f W-P e vi -7, <br /> ❑ Clarity <br /> ❑ Test Kits CAJA n U,ri L V-@lQ S n d-e y- 100 b' 1 rJ Z o l <br /> JOEL LAN E,699 "-' <br /> ❑ Supervision & Control - <br /> ❑ General Sanitation <br /> ❑ Algae ra r'P LA. re <br /> a I 4 0 o I_s <br /> Influent: <br /> Time In: Rece'ved By: Inspected �by: <br /> Effluent: Time Out: f O I S r AM 1 "' lv+vdutk <br /> EHD 36-017-31-09 SWIMMING POOL OR `153-`)g 1'7 Page I of� <br />