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�AN JOAQUIN COUNTY <br /> w- <br /> a` ENVIRONMENTAL HEALTH DEPARTMENT <br /> �` a 600 East Main Street, Stockton, CA 95202-3029 <br /> ._ c Telephone: (209)468-3420 Far: (209)464-0138 Web: www.sjgov.org/ehd <br /> ) <br /> 4�IFOPN <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: $ - Z L -O <br /> Address:,; _7 /(1 u(A' ' ' City: s/r N Zip Code: Cf S-Z_6 <br /> Owner/Operator: h n e Y g i - aA _r4ept_411 Telephone: L166 - p 3 <br /> Program Element: 96, 11 Program Record: P Q ,3(e0 q�, Inspection Type: PO L4 IW <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 / L <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters L <br /> ❑ Back Flow Prevention 00—��/ S /_- <br /> ❑ Main Drain Cover >t�/f <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION y <br /> El Pool Shell 02—A10 e ��eOW7 <br /> ❑ Fencing/Gates4�17 1.17 <br /> ❑ Decking&Coping .�/ <br /> ❑ Wade Pool-2 Main Drains / &I-er <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring f A— �22uL= ¢ <br /> ❑ Safety Signs - <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ LaddcDepth s/Hand Rails <br /> Depth —O� <br /> ❑ Markers/Ciles � jD <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> WATER QUALITY <br /> ❑ Chlorine <br /> ❑ PH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ <br /> Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> InllucnC <br /> Time In: � 3� Receiv In ec by: <br /> D.' <br /> EffluenC <br /> Time Out: , <br /> EHD 36-0105-29-2007 Page—of_ <br />