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Op(,�U,IN C SAN JOAQUIN COUNTY <br /> ENAKONMENTAL HEALTH DEPARTMEIv I" <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> .. Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> SWIMMING' POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: o•5 A 491 Date: <br /> Address: 1303,5'- 42� City: ,s" •Zip Code: qswag <br /> Owner/Operator: 6fnAzzTelephone: 41 -103 <br /> Program Element: pI( Program Record: /P 33,i;PW/ Inspection Type: leae t�+'72C <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp <br /> CC = � : Reinspection on or after: <br /> '70Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps �r / <br /> E3 Chlorinator 7-he Z- 4rz-lp/ , e�Jegg �Tt <br /> -e T S/ Gao4 <br /> ❑ Flowmeter <br /> ❑ Gauges py—1 S TG��"✓1 /��S/ .Fi r <br /> ❑ Skimmer&Gutters 06nIA fp -A--Gk �G4 11 <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> p Equalizer Line Cover <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shutoff 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 /> ❑ Supervision&Control <br /> ❑ General Sanitation g de A'LLs ' 'o A, etc( <br /> ❑ Algae <br /> Influent: <br /> o Tlmeln: e�lg� Received BY' Ins a ed by: <br /> Effluent: Time Out: <br /> /O'?6�1ryr <br /> EHD 36-01 7-18-08 SWIMMING POOL OIR <br />