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,� SAN JOAQUIN COUNTY <br /> 2; D IONMENTAL HEALTH DEPARTI JT <br /> N• t <br /> '•, 600 East Main Street, Stockton, CA 95202-3029 <br /> "'' �`-'" Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www,sjgov.org/ehd <br /> /kJ <br /> SWIMMING, POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: M,(P 1A '7/ y�( y,. 0, )1 S I Date: 94 I. <br /> Address: yy 1M City: AZL41TOLZip Code: C / <br /> Owner/Operator. Telephone: <br /> Program Element: Program Record: Inspection Type: ox <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> IterF The marked violations re res nt Ith&SafetyViolations olations and must be corrected as indicated: <br /> ❑ Filters / _ r _oAQ <br /> El Pumps .p-. l�' <br /> ❑ Chlorinator <br /> ❑ Flowmeter f G�asp <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters CA d � <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> Ego l <br /> d <br /> ❑ Equalizer Line Cover <br /> ❑ Pool Shell ` / u ✓� ( ow <br /> - <br /> ❑ Fending/Gates ay <br /> ❑ Decking&Coping 11 <br /> ElOW_ <br /> Wade Pool-2 Main Drains <br /> SAFETY,''EQUIP.ME 0A ` <br /> ❑ Rescue Pole <br /> ❑ Life Ring 3/a JSe <br /> ❑ Safety Signs <br /> ❑ Lifeguard60Q <br /> ❑ Pool/Deck Lighting a',' , <br /> ❑ Ladders/Hand Rails n �� <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits Onk A$ Ph/_ nD -fg, <br /> ❑ Emergency Shut-off Switch f1L � <br /> ❑ Showers yhe�xp �3/0�0t <br /> ElToilet&Dressing 01 V <br /> ❑ Ventilation 1 <br /> ❑ Chlorine <br /> pr << <br /> ❑ pH ��ss � <br /> ❑ Cyanuric Acid !4Q A( �LLtr1 PXi }�0 �^ l^E✓ <br /> ❑ Clarity11totdolk <br /> i47 <br /> El Test Kits TfCfL <br /> 31fl� <br /> ❑ Supervision &Control <br /> ❑ General Sanitation <br /> El <br /> 1 <br /> f,,rr <br /> Inf1 ���y��,, d� <br /> '� Time In: Re�eived By: nspected by: <br /> Effluent: <br /> Time Out: p'j'e-u �03?) <br /> EHD 36-017-31-09 SWIMMING POOL OIR Pagel of 1 <br />