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SAN JOAQUIN COUNTY <br /> ENVIRVNMENTAL HEALTH DEPARTMENT <br /> N: <br /> 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> 9C%FORS <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: © 5 l (�- Date: .- 1 - O <br /> Address: ' o 4a 44 City: Zip Code: <br /> Owner/Operator: ['. yi r-Z4 `— Telephone: q Lq _/(/07 <br /> Program Element: Program Record: Inspection Type: Pc_V- -yns Ct10 <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> RFC 1 R C I L A TI ON EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator 7 = !'✓� <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters �il, ',p_�/ p <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover .e tvt !( rt L .Q <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails PA 2LO `L <br /> 43 <br /> ❑ Depth Markers/Tiles <br /> F-1First Aid Kits 7,41f - ,fl - C - 00 <br /> 2 ❑ Emergency Shut-off Switch _ <br /> RESTROOMS jonr <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> WATER QUALITY <br /> ❑ Chlorine -. <br /> ❑ PH <br /> ❑ Cyanuric Acid - - <br /> oe <br /> ❑ Clarity <br /> ❑ Test Kits ,De bu3 00 /✓L <br /> MISCELLANEOUS <br /> ❑ Supervision&Control / f� <br /> E] General Sanitation 7 's �-. .Q/iL ,4YA <br /> ❑ Algae <br /> Influent <br /> Time eceived By: In pec,ted by: <br /> Effluent: <br /> Time O <br /> u <br /> EHD 36-015126/05 t Page_of_ <br />