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P <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q: <br /> ` 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web: www.sjgov.org/ehd <br /> ��FOR <br /> SWIMMING POOJ, QIFFLCIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: ) City: Zip Code: 95X 7 <br /> Owner/Operator: Telephone- <br /> Program Element: P gram cord: 6,;�7 f Inspection Type: <br /> Flow Rate(gpm)• itir pH: / _ Chlorine(ppm): Cyanuric Acid(ppm): Temp: e. spec r after: <br /> 107 <br /> lY 0007cC 30 Other: 0 V&e-0 <br /> 5 3� <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps _ / <br /> El Chlorinator C � — .G(� — 7'� _ /0 0 <br /> ❑ Flowmeter It 4W❑ Gauges l.. <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover ' Mai Gtr 1 <br /> ❑ Equalizer Line Cover 19 V69i Oj 614 m <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2 Main Drains klook <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs 7 �, U QLQyl <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting 044,tQQ <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 04 <br /> ❑ Algae C Z <br /> InFluenC �C) PS <br /> l Time In: 0 / Re ive y: / Inspected by: <br /> Effluent: 6 tj Time Out:11/0 GA;_ <br /> � <br /> EHD 36-0105-29-2007 Page of_ <br />