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o�gulM- SAN JOAQUIN COUNTY ' <br /> ENVIRONMENTAL HEALTH DEPARTI,.,ANT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.orglehd <br /> FpR <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: j�/j Date: f V� <br /> Address: W(— City: tloal Zip Code: <br /> Owner/Operator: zj�iglit ,I( //,zee' ' Telephone: y �� <br /> Program Element: ( � 3 ZProgram Record: ( aSd �' Inspection Type: CLQ <br /> FlowRate(gpm):� p; Chl rine(p m): +anuric Acid( pm): Temp: / Reinspection on or after: <br /> OWL <br /> V : 03 <br /> � � FC r,et 4 � Other: <br /> GI-RC1Td�°F�"J:R E:. The marked violations represent Health &Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator amf P l G Gt Gf /S <br /> ❑ Flowmeter �- i � <br /> C] Gauges <br /> l 1 d•f , <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention /? <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover Q <br /> ONST, U.C.T[ON" <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates C �r n - �� , <br /> ❑ Decking & Coping ��F _,�/ <br /> El Wade Pool-2 Main Drains �T nCIN�f� <br /> ❑ Rescue Pale �,/ ----__ <br /> El Life Ring i } [/i l �P?�'I Q��liC f?G <br /> ❑ safety signs n ` r films <br /> ❑ Lifeguard <br /> ❑ Pooi/Deck Lighting 'o? <br /> ❑ Ladders/Hand Rails V CIO, <br /> ❑ Depth Markerslriles <br /> ❑ First Aid KitsLGA�Z?fe <br /> ❑ Emergency Shut-off Switch <br /> LwersC{ /e#&Dressing n / —p 33tilation <br /> ❑ Chlorine <br /> ❑ pH Ld1� ✓ �`!� L U'W <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> a <br /> ❑` Supervision &Control <br /> ❑ General Sanitation - <br /> ❑ Algae <br /> Influent: zo f S iY <br /> �� Time In: ' jt Received By: I In petted by: <br /> Effluent: Time Out: ' t <br /> 10 t J <br /> EHO 36-01 7-31-09 SWIMMING POOL OR age f—of <br />