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p�UiN SAN JOAQUIN' COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 5 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sigov.org/ehd <br /> �" 4ttFOp <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: M Date: At_ <br /> Address: <br /> I/1� SGt, City: Zip Code: � <br /> Owner/Operator: <br /> Telephone: -2 Ly <br /> Program Element: (o. Program Record: 54 0694 Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or atter: <br /> Cc = Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ <br /> Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters ]/, / <br /> ❑ Back Flow Prevention -_�S'" v - �A �s- "707 <br /> ❑ Main Drain Coveri�—✓L� lo _� rnmPf <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates G ---��-- <br /> ❑ Decking&.Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT <br /> ElRescue Pole Se <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/files <br /> ❑ First Aid Kits F,c-�:LnJ• O CG <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> ❑ Showers 4_ <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation / <br /> WATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity - <br /> ❑ Test Kits <br /> MISCELLANEOUS L ,, �! U <br /> ❑ Supervision&Control - '- =—`-'� —� l' -e sS <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Timeln: �� 0,,0N-a Received By: I Inspected by: <br /> Effluent: / <br /> I <br /> Time Out: N � i <br /> EHD 36-0105-29-2007 <br /> Prior �! <br />