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,AN JOAQUIN COUNTY u'-Am <br /> ENVIRONMENTAL HEALTH DEPARTMENT Ll <br /> 600 East Main Street, Stockton,CA 95202-3029 <br /> c c Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> 4<rFoae' <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facllity: ddeDate: CT- z19- d <br /> Address: City: Sb.A j Zip Code: S'Z-1 d <br /> Owner/Operator: Telephone: <br /> Program Element: L Program Record: j0,f 3G 6 Inspection Type: _ <br /> Flow Rate(gpm): pH: Chlorine(FC = ppm): Cyanuric A.ciid(ppm): Temp: Reinspection on or after: <br /> 7J _ '/q /00 / Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> Filters <br /> ❑ Pumps _ <br /> ❑ Chlorinator /06", <br /> ❑ Flowmeter _ <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters Cj A-1119--k4 1--" Ad Ali-r- _ <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover sPp m wu Yi 4raxn FC- L -ve s <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION _ <br /> ❑ Pool Shell ' Al OLG <br /> ❑ Fencing/Gates _ <br /> ❑ Decking&Coping _ <br /> ❑ Wade Pool-2 Main Drains ro-Vl' <br /> SAFETY EQUIPMENT �••r M �CI-S <br /> ❑ Rescue Pole <br /> ❑ Life Ring reL7 O <br /> ❑ Safety Signs rn k <br /> ❑ Lifeguard <br /> ❑ <br /> Pool/Deck Lighting O ,r�iGfo W/ <br /> ❑ Ladders/1-Iand Rails <br /> ❑ Depth Markerafriles <br /> ❑ First Aid Kits ar _ 360 <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS !�� r �� F 1 �' <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> WATER QUALITY ~'n <br /> O of <br /> ❑ Chlorine <br /> ❑ PH V X� 1Q S� <br /> ❑ Cyanuric Acid <br /> 3 ,. c�uA e. Glt rrS ialn ec-� <br /> ❑ Clarity / ,.� <br /> ❑ Test Kits /O ✓0 de G/ 4 A 10 4y ?131,10 <br /> MI&:GELLANEOUS r-OU �� r �t <br /> ❑ Supervision&Control j M Alec Sim <br /> ❑ General Sanitation rr �- • <br /> ❑ Algae ,w <br /> Influent �� Dc�� X_Saoke- it)/ Q./t'I yors /. rl- <br /> I" Time In:oo;e Received By: ,,p Insp t by: <br /> Effluent: -7- P IIIY� <br /> r- Time Out: �s M <br /> E111)36-0105-29-2007 Page_of <br />