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SAN JOAQUIN COUNTY <br /> ER .RONMENTAL HEALTH DEPART. .NT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �s Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: tk-Yv Date: _ .0 <br /> Address: Pe rn YI'L? city: Zip Code: .J O <br /> Owner/Operator. 6\Lj-o y\ V hir"cTelephone: qrj _, <br /> Program Element: (Q ( Program Record: 03 2 Inspection Type: 2,1.1 i v <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Tel Reinspectio on or after: <br /> Other: <br /> .R.ECIRCU44TION EIIJ11P_MF,.NTra The marked violations represent Health &Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters Ain <br /> [I Pumps ✓ 1 UO <br /> ❑ Chlorinator 7 . G A "10 <br /> ❑ Flowmeter <br /> ❑ Gauges G OJf Y GG <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover We S Poo I <br /> CONSTRUCTION j, t ' <br /> El Pool Shell ('E '- :?- C <br /> ❑ Fencing/Gates FL- 7 GC <br /> ❑ Decking & Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT D J_.. <br /> IU e_ „l oo <br /> ❑ Rescue Pole <br /> ❑ Life Ring opul .. t�QyAh Qoo <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting F r4-41 pon I C11 (o r 't rt l t <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles - mCl./ itzx.i h Y1 - <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> 11 RESTROOM$, <br /> ❑ Showers 0-i- 3- 2 8 1L <br /> ❑ Toilet& Dressing L�` <br /> El Ventilation ri4 +o re_40 Qrl Y10 o0 <br /> WATER QU ALf T; ' <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> `MISCELLANEOUS <br /> ❑ Supervision & Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Time In: Rec �ved By: \ Inspected by: <br /> Effluent: Time Out: '� �d� ,s" ' �tA � <br /> EHD 36-01 7-31-09 SWIMMING POOL OR Time <br /> l of I <br />