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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMEN <br />304 East Weber Avenue, PI 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: Ale s4— p9 iy)--(-- ql- Date: <br />Address: & q 6 s- Iv bvesi._ ufAjr: City: Zip Code: <br />, c <br />Owner/Operator: pa 4 pvt a v \ L a, c r -yW 5- c pvt; 19_,2/0_.( Er Telephone: 1/7 3 ...y 11/6, <br />Program Element: 3(0 , / ,2_ Program Record: r.,/ 36, 0 , - ç 7 7'Inspection Type: Xf_c_ _i-n5-72.ecFlenA ,- <br />Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp: Reinspection on or after: <br />Other: if <br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />• Filters <br />• Pumps <br />— tii 0 1A-44o n IA a-uk-e..._ r) 04 ri 0 I' re-C-4-e- d ., • Chlorinator <br />• Flowmeter <br />• Gauges <br />— PO 0 1 ;sea--- c-C neicLi:ruz_ck (—CD s.fae) - • Skimmer & Gutters <br />• Back Flow Prevention <br />. Main Drain Cover <br />MI Equalizer Line Cover <br />CONSTRUCTION <br />• Pool Shell <br />• Fencing/Gates <br />• Decking & Coping <br />• Wade Pool —2 Main Drains <br />SAFETY EQUIPMENT <br />III Rescue Pole <br />• Life Ring <br />- ç,2W ffi*f.3663t-Cl'Jliallft, <br />• Safety Signs <br />M Lifeguard <br />• Pool/Deck Lighting <br />-- tiro f a -r-O--m 5 Ziez..L.Lr_ i.ol- ea/I-cc-fel - <br />• Ladders/Hand Rails <br />• Depth Markers/Tiles <br />• First Aid Kits <br />• Emergency Shut-off Switch _ S pa> IS ft /0 a-I-xi-ea( 6 (o-s.e.d , RESTROOMS <br />III 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 />Effluent: <br />— <br />it Time In: ,, 1041,_ Received B : Inspect,ed b : <br />/ , <br />Time Out: „fc,Orgspk,r7 k , ____ <br />, .... <br />EHD 36-01 5/26/05 Page of