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SAN JOAQUIN COUNTY <br />Q`. ENVIRONMENTAL HEALTH DEPARTMi NT <br />600 East Main Street, Stockton, CA 95202-3029 <br />p Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />q<I cpP� <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: ups Zdey Date: S— <br />Address: City: S Zip Code: <br />Owner/Operator:Cc Telephone: <br />ram <br />Program Element: ProgRecord. Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm):Cyanuric <br />7 <br />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 />❑ Filters <br />--DUd '�*A � <br />La jOet, iI u.V <br />SJ /� /n� ,y,� 1 <br />T7r�2cC lh lNr ! h Grt_7t <br />❑ Pumps <br />C3 Chlorinator <br />❑ Flowmeter <br />d 5 Ga S vk kSi Rf, d <br />❑ GaugesQ1M <br />lby OX2OLCLmoi. <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />soya- _ <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gatesif-� <br />A ^ <br />I_I1 ��, •� tl,vL •�w�– d�w� «� 5 <br />tom/ <br />❑ Decking & Coping <br />❑ Wade Pool – 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />tfon -✓ <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ PooVDcck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />_ <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />Cwt- <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: <br />Rec v d B <br />ns ed by: <br />Time Out: <br />EHD 36-01 05-29-2007 / Page L of ,L <br />