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SAN JOAQUIN COUNTY <br /> 2r ? ENVIROWENTAL HEALTH DEPARTMhNT <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��Fa.R�a <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Ge 1z,,(,Yk-e Date: S/cj�- <br /> Address: SSS i v� B U City: Q CCeii Zip Code: <br /> Owner/Operator: 610 Hd ZIW:��<P( Telephone: <br /> Program Element: Program Record: D?j�Q(1yT Inspection Type: rewtJ c 1Lc <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> l ! S " F C- 7 Other: <br /> b -I a� o c � ( UU <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters e NS C-.U._� S bf( <br /> ❑ Pumps rl U <br /> ❑ Chlorinator -(4 <br /> ❑ Flowmeter <br /> ❑ Gauges ' t / , <br /> ElSkimmer&Gutters �i w,h � - C ( 4em I�.e / <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover t / <br /> ❑ Equalizer Line Cover - C( i'e- <br /> CONSTRUCTION �` �G l <br /> El Pool Shell (�[ f {� YC <br /> ❑ Fencing/Gates acr et A-V'- S�e - 7'�C'(-YC <br /> ❑ Decking&Coping JJ <br /> ElWade Pool-2 Main Drains ` <br /> SAFETY EQUIPMENT r IYM a � U,P147 - z4( r <br /> ❑ Rescue Pole <br /> ❑ Life Ring <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 /> Influent: � � , <br /> Time In: / Received By: I ected b <br /> o�/ <br /> Effluent: Time Out: <br /> EHD 36-01 05-29-2007 Page_of <br />