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Date: <br />Zip Code: f5- 33 cp <br />Telephone: Ke2 3 _ - <br />Name of Facility: )14 0 TD 9e,' <br />Address: z71. 7 62 AJP1-41,1fri-e_LDr1),Le City: 114 ittie-CA <br />Owner/Operator: <br />pH: <br />- <br />Flow Rate (gpm): <br />SO <br />Chlorine (ppm): <br />CC <br />Program Record: Of 3600=14 <br />Cyanuric Acid (ppm): <br />'70 <br />El Showers <br />El Ventilation <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />Program Element: 36 , // InspectionInspection Type: <br />Temp: <br />Other: <br />075 Per-f-ro'-n <br />Reinspection on or after: <br />M as+ tic a (6-1-c 5 tict-o-ebea corfec-ked <br />i1 elGt-114" f z-e2„,ed ) ,0 <br />of dtr- v /9 , tvi irk (Jur /la d4rj <br />- 1-kAue,n-f. c1.4 E -4-e 44 1-kx_ ct -- A Icevic-c_ <br />1,2 451 . Ack_w=k_cs--f-- — <br />ted by/ Time In: /r...3O1ii,„1 Received By: <br />Time Out: <br />RECIR <br />0 Filters <br />Pumps <br />Chlorinator <br />El Flowmeter <br />0 Gauges <br />Skimmer & Gutters <br />Back Flow Prevention <br />Main Drain Cover <br />CI Equalizer Line Cover <br />CI Pool Shell <br />0 Fencing/Gates <br />0 Decking & Coping <br />0 Wade Pool — 2 Main Drains <br />Rescue Pole <br />Life Ring <br />0 Safety Signs <br />Lifeguard <br />El Pool/Deck Lighting <br />CI Ladders/Hand Rails <br />CI Depth Markers/Tiles <br />First Aid Kits <br />El Emergency Shut-off Switch <br />0 Toilet & Dressing <br />Chlorine <br />El pH <br />El Cyanuric Acid <br />Clarity <br />CI Test Kits <br />Supervision & Control <br />CI General Sanitation <br />CI Algae <br />Influent: <br />Effluent: <br />/3frr <br /> <br />13.3 <br />SAN JOAQUIN COUNTY <br />EN\ aiRONMENTAL HEALTH DEPARTM T <br />600 East Main Street, Stockton, CA 95202-3629 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> <br /> <br />3? <br />4-E <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />EHD 36-01 7-31-09 SWIMMING POOL OIR Page / of