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oa�l�.. SAN .JOAQUIN COUNTY <br />N . 2 ENS„20NMENTAL HEALTH DEPARTM,NT <br />600 East Main Street, Stockton, CA 95202-3029 <br />•"�.. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />9(IFOR�` <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility:.(, <br />f - Date: 3/1'7/11 <br />Address: <br />W Vit City: Zip Code: °/5-1 / D <br />Owner/Operator: <br />Telephone: <br />Program Element: Program Record: Inspection Type: <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 Code Violations and must be corrected as indicated: <br />❑ <br />Filters <br />- Q ace' ' htEdl <br />v [x/bQ�41- J (/ItQ., <br />Nth <br />❑ <br />Pumps I <br />❑ Chlorinator <br />❑ <br />Flowmeter <br />0 opt(_// <br />d - -CLR,A.i <br />E] <br />Gauges <br />�t <br />DnQ, 0[�. <br />❑ Skimmer & Gutters <br />❑ <br />Back Flow Prevention <br />S'l)h • c O <br />❑ <br />Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />LC <br />❑ Pool Shell <br />❑ <br />Fencing/Gates <br />❑ <br />Decking & Coping <br />a 2 <br />(L _ /v <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />t <br />Awn to <br />LlRescue <br />Pole <br />yYl� <br />❑ Life Ring <br />❑ <br />Safety Signs <br />❑ <br />Lifeguard <br />❑ Pool/Deck Lighting <br />❑ <br />Ladders/Han Is <br />- <br />❑ <br />Depth Mar <br />❑ First Aid <br />❑ <br />Emer ! nW4— ff Switch <br /><R MS <br />,/ <br />TSD{-(- i�'1g2V1 dAA h, <br />y, <br />Showers "" <br />Toilet& 137enmg <br />.Ventilation <br />Q /. qt o tow <br />`-"`+WATER QUALITY <br />U <br />C Onn <br />J <br />dci UN GLV' �K/ - )hill..% Y- a <br />E] pH <br />❑ <br />Cyanuric Acid <br />Vac— Ahit <br />❑ <br />Clarity juwf <br />❑ Test Kits <br />MISCELLANEOUS <br />',:y <br />J <br />JACL]Supervision <br />& Control <br />❑ General Sanitation <br />❑ <br />Algaed <br />�y <br />t yx <br />Influent: , <br />3" T !� <br />Effluent: i • 1 r <br />Time In: <br />e c a I v e d � RD <br />�U) <br />Inspected by: <br />lrr4'k� <br />Time Out: <br />v <br />EHD 36-01 7-18-08 SWIMMING POOL OIR <br />