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o U I ty.. SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3 rd 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: 1.i . ij-.7 .3 /0/1 /2 K 79/4 e-7--",./Q7-..5.--, Date: '7/Z<FIC2 &) <br />Address: i £L-f0 /4-{ O-S A-t c- LA-M-y City: „c•-7-25,c....z..),) Zip Code: <br />Owner/OperatorVE /j&77-74_,J 149-ve_e_ Al) 4 ig7 -746en_)-t-..s r....4._c_ Telephone: 1-177 —5- 2-6, V <br />Program Element: 3t . /2._ Program Record: lade a 4,02-7,4 Inspection Type: <br />Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp: Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />• Filters <br />• Pumps <br />0 -4 o / _c Lett h_ses ..c-,...-1-4. , 4 ,--,,,,..) .A_ _s--f--,t,, ...... ..,--,v,e_ • Chlorinator <br />• Flowmeter <br />417 0 1"PA-0- (4...s.k.,.- en& , , IIII Gauges <br />CS"fa-on_et VT-yeti :— 4/ ,s-/,(07 • Skimmer & Gutters <br />IN Back Flow Prevention <br />• Main Drain Cover <br />• Equalizer Line Cover <br />CONSTRUCTION <br />• Pool Shell <br />• Fencing/Gates <br />• Decking & Coping <br />• Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <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 />II 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 />Effluent: <br />Received : <br />Time Out: •.. % 0 4 <br />EHD 36-01 5/26/05 Page / of