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'OPgU1N,C0 SAN JOAQUIN COUNTY <br /> ENVucONMENTAL HEALTH DEPARTMbrvT <br /> Q: <br /> 304 East Weber Avenue, 3 d Floor, Stockton, CA 95202-2708 <br /> ., P.. Telephone: (209)468-3420 Far: (209)464-0138 Web: www.sjgov.org/ehd <br /> 'OciFo"aa: <br /> 3�n^ SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: U a aY Date: 7- 0 -CS— <br /> Address: <br /> - S -OAddress: yyu,y/ Zip Code: <br /> Owner/Operator: n Telephone:16 '7-1z10li3 <br /> Program Element: 6 r Program Record: Inspection Type: <br />_U� Flow Rate(gpm): pH: E A-54-Pyo Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Z 7 Ido t <br /> 3� <br /> 2 RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ra Filters / _ 3 go z <br /> ❑ Pumps L <br /> L6 E] Chlorinator .�R„ p�, aAA. oY a(,� tr j <br /> ❑ Flowmeter <br /> Gauges 7 / _ OS <br /> ❑ I <br /> ❑ Skimmer&Gutters lie <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover f Q 4o 1 "5,3 4t-ri 0. <br /> epm <br /> ❑ Equalizer Line Cover p 'Coe- <br /> it I VCQl,!(� <br /> CONSTRUCTION �t / <br /> ❑ Pool Shell 7 — 6 Wl . Ca rY2.GT 7 l� <br /> ❑ Fencing/GatesG, U <br /> ❑ Decking&Coping n _ ' <br /> ❑ Wade Pool-2 Main Drains l- ; 0'9 <br /> SAFETY EQUIPMENT FIC'47 ✓ e T n <br /> ❑ Rescue Pole <br /> ❑ Life Ring 7 -/ S-� �. /��sb Floaf- 1klv[- <br /> ❑ Safety Signs / 6 E36- <br /> E] LifeguardoocwL <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladderaffland Rails / <br /> ElO O Depth Markerslfiles L lc�sp �/ <br /> El First Aid Kits Q e� ,eie Ike _117ollo Ai <br /> ❑ Emergency Shut-off Switch O-0 <br /> RESTROOMS <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> WATER QUALITY <br /> Chlorine [',L <br /> pH <br /> Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: a I 'q 5' <br /> ' r Time In: keeeved By: Ins ec d by: <br /> Effluent <br /> :0 3151 - <br /> Time Out: <br /> EHD 36-01 5126/05 / V Page_of <br />