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o¢.UV! SAN JOAQUIN COUNTY <br /> ENS,,,�ONMENTAL HEALTH DEPARTN. _,4T <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> "'...FORS`" Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: �� t � ��,� Date: <br /> 7 � ► <br /> Address: ; t city: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type,/&020 <br /> i,, Flow Rate(gpm): pH: Chlorine(p m): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> l ! Other: <br /> L-Cf <br /> RECLRCULAT.ION.EQUIP_MENT:,' The marked violations represent Health &Safety Code Violations and must be corrected as indicated: <br /> El Filters <br /> ❑ Pumps _ � ✓Y�`c'u.� W���t-t-2�s � -_ <br /> ❑ Chlorinator A- <br /> ❑ Flowmeter 9 <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> 'CONS'TRUC:T,IONfi �; • -� � _I��E�� <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates ov, Z de2q-e <br /> ❑ Decking&Copingr <br /> ❑ Wade Pool—2 Main Drains <br /> Paul-AFE,TY;_EQUIF,MENT <br /> L,U. 0-C r�- ,6 Ivw <br /> ❑ Rescue Pole"— <br /> ❑ Life Ring' <br /> fety Sign + <br /> guard / <br /> /Deck Lighting <br /> rs/Hand Rails ° <br /> p Markers/Tilesh <br /> ❑ Kits <br /> ❑ r cy Shut-off Switch ) / q <br /> El <br /> ❑ T t ssing <br /> ❑ Ventilation <br /> =WATE.R QUAL '; <br /> ❑ Chlorine. �q <br /> E] pH >Lli'•� '1l�CJ <br /> ❑ Cyanuric Acid <br /> ❑ Clarity ( _. <br /> ❑ Test Kits yWA 49- <br /> " <br /> MISCELLANEOUS ,., : < <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae W LL MIEET "low <br /> Time In: Received By: Inspected by: <br /> Effluent: <br /> 95Time Out: <br /> EHD 36-01 7-31-09 SWIMMING POOL OIR Page—4–of <br />