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PgpIN SAN JOAQUIN COUNTY <br /> ENV1xONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3d Floor, Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Far:(209)464-0138 Web:www.sjgov.org/ehd <br /> 4G/PORN <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: 8 <br /> Address: p R f t ,� City: Zip Code: <br /> Owner/Operator: Telephone: 6 <br /> Program Element: 34, f /2_ Program Record: 1P-740 26 Inspection Type: �ie 2 CC <br /> Flow Rate(gpm): pH: Chlorine(ppm): C anuric Acid(ppm): Temp: Reins action on or after: <br /> s td x/ 1— • 74 Edi-- V. ,Z) 4- _ ID Other: <br /> 6r -7. G we_51 _ /16 weik- 3 0 <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps / <br /> ❑ Chlorinator / UYl /h YO <br /> ❑ Flowmeter Corr i' a0 O <br /> L] Gauges " <br /> ❑ <br /> Skimmer&Gutters U. JQ� / / _ `c <br /> E] Back Flow Prevention Gr T f-C' <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> ❑ Pool Shell 6 <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2 Main Drains � 14 'y4J <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring r'Q r— <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ <br /> Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> WATER QUALITY <br /> LJ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> 77 Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: / q )O <br /> Time In: O( i �p ceived By: Ins ed y: <br /> Effluent: � <br /> Time Out: i � h <br /> EHD 36-015/26/05 V Page <br />