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SAN JOAQUIN COUNTY <br /> y ?� 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 /> 9 ClFOPe� <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: ua ir2. v - rrw rte 5 — W e S+ Date: <br /> Address: RD 3 m m r ),' 11 Y;n City: &f V C,{<+&,-L- Zip Code: 5a <br /> Owner/Operator: �' cam, Ph !._. Telephone: '95Y7 -59414 <br /> Program Element: 3('p I o2- Program Record: P_U3(o Lb2lp H Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> G {•o fiee Pend n <br /> J� 1Y C.n mb Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must he corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator ( 5 <br /> ❑ Flowmeter e.(-O <br /> 1-1Gauges <br /> ❑ Skimmer&Gutters n m <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover 00 Ll,o C..e. m-Lc ( <br /> CONSTRUCTION <br /> ❑ Pool Shell 6� + wne C <br /> ❑ Fencing/Gates bn I •F`— <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT <br /> O <br /> ❑ Rescue Pole <br /> ❑ Life Ring ct C3-t.0 n (R <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting I YL. <br /> ❑ Ladders/Hand Rails O <br /> ❑ Depth Markers/Tiles COY Yp <br /> ❑ First Aid Kits <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 /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> InfluenC I I <br /> Timeln: 1 :44y Received By: Inspected�byy/:�/1A`'�-' <br /> Effluent: [TimeOut: 'a DS <br /> EHD 36-01 05-29-2007 V Page of <br />