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,oPg SAN JOAQUIN COUNTY <br /> �..—�'•cmc <br /> ENV )NMENTAL HEALTH DEPARTME <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> �/FOR <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: C p Date: <br /> Address: City: S' Zip Code: <br /> Owner/Operator: Telephone: J" <br /> Program Element: /Z Program Record: Q Q� �j Q Q Inspection Type: <br /> F,JQ�to(gpm�r pH: C,{�lori9e(ppm) uric cid(p m): Temp: h .� Reinspec on on or after: <br /> A^ PO4 ;2 / Other, <br /> 70 ff-3 iid- <br /> . <br /> RECtRCULATCotE�QUIPMENIT The marked violations represent Health &Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking & Coping _ Az�t-_t'" <br /> ❑ Wade Pool—2 Main Drains <br /> S Qi,F T I' M C X�JI 1 <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs All <br /> ❑ Lifeguard <br /> ❑ Pool/Deck LightingU C <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles �r�2ae <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> P <br /> ❑ Showers GZ � <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation az-o-/ <br /> ❑ Chlorine <br /> ❑ pH o� Q <br /> ❑ Cyanuric Acid <br /> ti <br /> ❑ Clarity <br /> ❑ Test Kits <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> rctq <br /> Influent: 2 <br /> D <br /> Time In: i a eived B Insp c ed b <br /> Effluent: /� Time Out: <br /> EHD 36-01 7-31-09 SWIMMING POOL OIR Page_of <br />