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° '" SAN JOAQUIN COUNTY <br /> 2. °� �" ? ENVIRONMENTAL HEALTH DEPARTMEi\-i <br /> Q: <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �.. P. Telephone:(209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> 4��Fi6 <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: aes-+' �ey�f P09d 5 Date: <br /> Address: IqWn $ qJA y) City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Pool ^ -70 P661 �00 ( Other: <br /> "P 6,0 s 76 s ,v <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps r <br /> ❑ Chlorinator 1-0 <br /> ❑ Flowmeter <br /> ❑ Gauges — <br /> ❑ Skimmer&Gutters S�0 a <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover n - <br /> ❑ Equalizer Line Coversn -- <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates q Segs <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT / fh- q- 4 GcL <br /> ❑ Rescue Pole ` <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails C Pill AK / <br /> El Depth Markers/Tiles n �/ <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation - --- - <br /> WATER QUALITY <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 ived y: spected by: <br /> Effluent: <br /> Time Out: <br /> EHD 36-0105-29-2007 Page of <br />