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SAN JOAQUIN COUNTY <br />. <br />ENV )NMENTAL HEALTH DEPARTM, r <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: Date: — l O <br />Address: W City: Zip Code: J" <br />Owner/Operator. Telephone: rl — o't.) <br />Program Element: (0/2 Program Record: 6 U S`3;' Inspection Type: <br />Flgw Rite (gpirill:7,'',7^' <br />�' <br />pH: Q o <br />IoriAe�J(pp�m/)%�(�f p.- <br />%r�s�iY�l'�—!"'CC <br />Cyan Acid (p <br />�� �30 <br />Temp: ps 4� <br />O <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPM{R_N_ T <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />— <br />O'L <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />!9— <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />_ n 1 <br />X�O( <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT' <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />oc I OIL <br />3 f/ <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/files <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />- RESTROOMS <br />_❑ <br />Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />- <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 />❑ Alga <br />Influent: 2d <br />Effluent:? % <br />e <br />Time In: a �' <br />glued B <br />Insp t d by: <br />Time Out:�� <br />ff v <br />EHD 36-01 7-31-09 SWIMMING POOL OIR Page <br />