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CONSTRUCTION <br />Pool Shell <br />SAN JOAQUIN COUNTY <br />EN v IRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3'd Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Date: c7•22--ci <br />-- I Address: Zip Code: e ze....., s-. 6- 4 44 k 4,e, .5 7 City: 5 7-0 e.- 7z,,e , <br />Owner/Operator: e/ry 7.0,.•Kiz44.) Telephone: -, <br />r-- I Program Element: Element: J6 /6 Program Record: pe Inspection Type. feC_)Ce 6 y, zio•-- <br />Flow Rate (gpm): <br />6P Appi <br />pH: <br />74 <br />Chlorine (ppm): <br />-0 <br />Cyanuric Acid (ppm): Temp: Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />0 Filters <br />Pumps <br />Chlorinator <br />Flowmeter <br />Gauges <br />Skimmer & Gutters <br />Back Flow Prevention <br />Main Drain Cover <br />Equalizer Line Cover <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated. <br />fa3V-- //-0.5Alo elliag/PE _ <br />PRDI;(Dt6 Ito to /o,0 evi hilota•m-,E=L4a <br />a) PO0 1, W c e6-55' 11/0- 1e13,021 CA)‹i.c-ri_e-e OW 77a.47 <br />141vD SKIsiolee5 6.12LLW.. *vb. <br />i(-572Yz6- Pon!. ro PROER, em-mo glut. 1.(t) <br />10.'111645 (m&A <br />fthuC/A)6- to45 199PDMO ht) 40okr- S ggiews, <br />Fencing/Gates <br />Decking & Coping <br />Wade Pool —2 Main Drains <br />SAFETY EQUIPMENT <br />Rescue Pole <br />Life Ring <br />12.6POik3 P,09-e65 AmPDoes <br />CokzEe_T o ef-mm bipic Pgiord'ers SR.0•47 cleas(b‹ • <br />T-4?___Piekv6vr 4eC6--5s, imidix-Liora:fd <br />Safety Signs <br />Lifeguard <br />Pool/Deck Lighting <br />Ladders/Hand Rails <br />Depth Markers/Tiles <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 />44-Mai)Dr eAt-Az5ie1p( po eel 011/41( /49441:11 <br />e4114-.c9 Ac 81/5)k-ent)o) — <br />Influent: <br /> ILf <br />Time In: <br /> B : Inspected by: <br />Effluent: I0 <br />Time Out: <br />EHD 36-01 5/26/05 <br /> Page of