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SAN aJOAQUIN COUNTY <br />` ? EN _ .ONMENTAL HEALTH DEPARTA IT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />F .p <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: d&A02 etaaDate: // <br />Address: City: a art Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: Program Record: Inspection Type: 0 <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT- <br />The marked violations represent Health & Safety Violationspand must becorrected asindicated: <br />❑ Filters <br />yCode <br />r /i%7,,,, ,. r _ l%r`L 4e, <br />t�s�W�� <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />/� <br />�W q <br />E] Main Drain Cover <br />,6AI <br />❑ Equalizer Line Cover <br />CONSTRUOTI QNIF <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />a i <br />Cl <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />�,• Q �/ <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Si <br />i <br />❑ Lifeguar <br />❑ Pool/Dec <br />mai,& 71,c, N +- ' <br />❑ Ladders/W <br />0tv, of At <br />❑ Depth Mgrimrsffffes <br />❑ First Aid Rks <br />❑ Emergency Shut-off Switc <br />r*r'• K ;g zany je�j <br />V-A <br />`—RE S-ROOMS-il <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />- -WATER QUALIT <br />❑ Chlorine <br />7A�h <br />/ <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />K �P <br />❑ Test Kits <br />MISCELLAN_EOU- -' <br />13Aa ;IA s k_ a <br />mD <br />❑ Supervision & Control+ <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: <br />Received ay: <br />I spec edby: <br />�c� a g <br />Time Out: <br />EHD 36-01 7-31-09 SWIMMING POOL OR Pageof--� <br />