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SAN JOAQUIN COUNTY <br /> ENV iRONMENTAL HEALTH DEPARTMI✓NT <br /> .f. ` 304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> �'Ci'g 6 <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: GkpierA WAGP4etA—o�7 Date: 5 <br /> Address: 4\4y 19 City: 1:71-a4cm Zip Code: <br /> Owner/Operator: Telephone:'�I <br /> Program Element: Program Record: Inspection Type: UTNE <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 /> ❑ Chlorinator _ <br /> ❑ Flowmeter �a, 'C✓ (( �j> <br /> El Gauges -�1 1V�OOD FI&CZ Gkn�i L5 ILOII� <br /> { . RCL <br /> - -- <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover -A► MAT4'rAW -, ba. Vlwe iMf �KzAatv, <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates L., FT TfVj It 04:E <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT 'RIAl <br /> ' <br /> ❑ Rescue Pole ,�( <br /> ❑ Life Ring T D` 2q�.• <br /> ❑ Safety Signs <br /> ❑ Lifeguard ` ���� . <br /> ElPool/Deck Lighting \V b�v 100L 4 � c�,>�4�''V_,jG; 4�OR M <br /> ❑ Ladders/Hand Rails Mt) �� A 0 � DEPT U q� . _115 <br /> El Depth Markers/Tiles DEPT �LI <br /> El First Aid Kits '2ELb ��� -N'j: �oL Jos DW ot!6H T 5 <br /> ❑ Emergency Shut-off Switch Iv`,A VA%7 <br /> RESTROOMS <br /> ❑ Showers _ TLO_ • NO TTR lft TV T 5 L –VIC <br /> ❑ Toilet&Dressing „` 1 �r�r , WT �A T. <br /> El Ventilation L�t� N <br /> WATER QUALITY r 1 ' I / /�,, /,�� p <br /> ❑ Chlorine r('„ �`�1 ttQsVE M �-W1�J- CIN��S p�OK . <br /> ❑ pH �1.� _ 1� <br /> [:1 Cyanuric Acid �� 4.b, -3 a <br /> ❑ Clarity _ Q Q <br /> E] Test Kits -4b9, 34 9 V' <br /> MISCELLANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Time In: / eeRlved By: Inspected by: <br /> Effluent: ,.1 1VAV'i` t•I J,Q <br /> Time Out: <br /> EHD 36-01 5/26/05 Page of <br />