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pg4V.I N, SAN JOAQUIN COUNTY <br /> ENVIrlONMENTAL HEALTH DEPARTMCNT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �.. ; Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> 9�/FOQa <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: I al P 1&n ' ' 6c_�[re_ f —(�Q — Date: —( <br /> Address: Rn. C Po rrrrrre Ln City: Zip Code: 'J52 /Z) <br /> Owner/Operator: 40 rt-i Telephone: 57. <br /> Program Element: 369 0— Program Record: (Z p36oG (p Inspection Type: 7y -f;r� <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> I00 Other: PPnc�;,7 o) <br /> (i J <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> [� Filters <br /> � Pumps <br /> l r� r uo I 1 L a ! rn Lt ICGI <br /> [L} Chlorinator La'uf Heat-111 .sq cb II(6D(0q. <br /> [� Flowmeter <br /> ❑/ Gauges u c r cn ck (e4-e <br /> [v] Skimmer&GuttersCirf C.LkkdQ r <br /> ❑ Back Flow Prevention <br /> Q Main Drain Cover c u re <br /> L] Equalizer Line Cover l o Y Gt -e r l A1�}ct n <br /> CONSTRUCTION <br /> [L} Pool Shell k)4 R 4 ti - O <br /> Q Fencing/Gates r <br /> Q Decking&Coping r <br /> ❑ Wade Pool-2 Main Drains DOC, b MOLD ac:) I I - Kee lip un <br /> SAFETY EQUIPMENT <br /> 00 O jE tAr-) e_ <br /> [� Rescue Pole _ <br /> Life Ring CL; r <br /> [� Safety Signs d <br /> ❑ Lifeguard u u n a C e { <br /> [� Pool/Deck Lighting <br /> [v] Ladders/Hand Rails <br /> [� Depth Markers/Tiles SP oim YI rrL4 <br /> ❑ First Aid Kits ®L)1 OO I <br /> ❑ Emergency Shut-off Switch I <br /> RESTROOMS ) n Y v-i do ' <br /> ❑ Showers N A Gz h rD n <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation Y4 - ocu n-- Q, a <br /> WATER QUALITY Y10 'rt <br /> Zu <br /> [3' Chlorine rr1j I <br /> [v] pH WRn 4 rVl h 60 Wory4r? <br /> [� Cyanuric Acid c) <br /> Test <br /> [� Clarity <br /> [� Test Kits <br /> MISCELLANEOUS <br /> ❑� Supervision &Control <br /> 0 General Sanitation <br /> Q Algae <br /> Influent: QA <br /> Tlmeln: eceived By: Inspect/¢d Jyy' <br /> Effluent: / D U\tri(,'(. ��,/,� �ltegI <br /> TimeOut: <br /> EHD 3601 7-18-08 SWIMMING POOL OR <br />