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PO �.iN SAN JOAQUIN COUNTY <br />10'-_'.EyCOG <br />?� ENVIILONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />�.. ; Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />4�FOPtN <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: A -A rrz_ +0 n 5 L'a ✓J Q r+K Poo I Date: _ <br />Address: +j — m �.,� City: .5 .L -(-p n Zip Code: <br />Owner/Operator: 5 fVC_K h U ' llt0 Telephone: C31 i -Is aC.( <br />Program Element: '5(o 19. Program Record: P fLD3 40 a-0 3 Inspection Type: ' yu_ <br />Flow Rate (gpm):pH: <br />ovQr $•[7 <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />��r <br />Temp: <br />Reinspection on or after: <br />xW_e-e'<S <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />[r]' Filters <br />Roo W 4 -k y- o recrt. /2ct.bCe <br />❑, fps <br />1( La- C <br />a Chlorinator <br />Flowmeter <br />/ <br />i'I o l <br />[v}� Gauges <br />_ <br />�, 00 Owrsl e-; �- "Jn 4t"- <br />[� Skimmer & Gutters <br />❑ Back Flow Prevention <br />^ w <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover i i <br />3 �S�t-(2 O (L- ujl A, a rt.0 <br />CONSTRUCTION <br />'Pro C'.4 /Le <br />El Pool Shell <br />Fencing/Gates <br />:-) �0--�-h ct-k re <br />[� Decking & Coping <br />-o /72 Sl i7ri.t,l_ se /f - <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />Y{V.Q '1+acct q%pn� 04roW n.n <br />[� Rescue Pole <br />O'74;, '.540nif pM_ 00d <br />[>� Life Ring <br />[y Safety Signs <br />�Q <br />❑ Lifeguard <br />W de - P <br />❑ Pool/Deck Lighting <br />Ladders/Hand Rails <br />[� Depth Marken/Tiles <br />»CQ. Um 4 rN 0 <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />AA'%l R/YL GLr r'ori It.e. 1, ,g r �C'4p r <br />RESTROOMS <br />- o pe r ti to H n.L cS /-t_q,z - <br />❑ Showers <br />❑ Toilet & Dressing. <br />,`Oc- <br />❑ Ventilation <br />n-er i$p'S wyjr mac( <br />WATER QUALITY✓m <br />❑ Chlorine <br />8 D{'rGC- o rn es W dl4cC 54al <br />Kr PH <br />[t.]� Cyanuric Acid <br />moo( C Wrirt•(_ /u1 64'17 <br />[� Clarity <br />u not boncicoP �rtd [.� F e r w'r <br />❑ Test Kits <br />MISCELLANEOUS <br />C r ool 4V nez?'CL. G <br />❑ Supervision & Control <br />/ <br />❑ General Sanitation <br />❑ Algae <br />Influent: ^w O <br />Effluent D J 1 <br />Thneln: 10:jD <br />Ate4elved B <br />� <br />Inspected by: <br />7'J'1�t,t� l <br />Time Out: <br />EHD 36-0105-29-2007 V L Page -I-- of <br />F'2f <br />