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equ.l K, SAN JOAQUIN COUNTY <br />EN ONMENTAL HEALTH DEPARTK, J <br />600 East Main Street, Stockton, CA 95202-3029 <br />v; Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Date:WOV (- <br />Address: Vt U egi& <br />City: <br />Zip Code: 3 <br />Owner/Operator: <br />Telephone: <br />Program Element: Program Record: <br />Inspection <br />Type:14(0>0 <br />4Ib>0 <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATIO_ N EQUIPMENT <br />The marked violations represent Health & Safety <br />Code Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />Ae ( <br />o <br />❑ Chlorinator <br />❑ Flowmeter <br />A A C I <br />l•�W <br />❑ Gauges�t <br />1'r <br />/!Qfir, <br />C <br />C3 Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />-- _ CONSTRUCTI"ON <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 />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />- -"""RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATERfQ,UALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />y <br />I1 51!,' f <br />❑ Clarity <br />❑ Test Kits <br />-. MISCELLANEOUS- <br />❑ Supervision & Control <br />❑ General Sanitation <br />El Algae <br />Se�IJ <br />t <br />`�3Ib2,rJ <br />Influent: <br />Effluent: <br />Time In: Received.J By: <br />Time Out: <br />Inspected by: <br />4bg-d3? <br />EHD 36-01 7-31-09 SWIMMING POOL OR 0 Page I, of I <br />