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SAN JOAQUIN COUNTY <br /> PO�,Iry <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> cq l4 " 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web: www.sjgov.org/ehd <br /> �rFOR <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: 10b(o M <br /> Address: 7 City: /2 coija&� <br /> Zip Code: 95gg0 <br /> r <br /> Owner/Operator. Telephoneo0 t?– <br /> Program Element: Program Recor Inspection Type: <br /> : I?2 <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> 7 Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> 0 ��— " p <br /> ❑ Chlorinator Glt-Ci <br /> ❑ Flowmeter ' <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention l �' <br /> [–] Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION q <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool–2 Main Drains <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguards <br /> ❑ Pool/DeckLighting S m"– D D� <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth MarkersfFiles <br /> ❑ First Aid Kits tT <br /> ❑ Emergency Shut-off Switch 6 <br /> RESTROOMS <br /> ❑ Showers <br /> ❑ Toilet&Dressing i <br /> ❑ Ventilation <br /> WATER QUALITY P/5 za <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ <br /> Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Thneln: Recei ed By: Inspected y: <br /> Effluent: T le, <br /> IL Time Out: C/ i�..� <br /> EHD 36-0105-29-2007 Page of <br />