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SAN JOAQUIN COUNTY <br />2' ? ENVIKONMENTAL HEALTH DEPARTMENT <br />Q: <br />600 East Main Street, Stockton, CA 95202-3029 <br />�.. ; Telephone: (209) 468-3420 Far: (209) 464-0138 Web: www.sjgov.org/chd <br />4�FOAa <br />Sose <br />glo --jq66 <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: y- j Date: <br />Address: C /l j City: Zip Code:act <br />Owner/Operator: Telephone: _ <br />Program Element: - Program Record: PQQ C/7,2 Inspection Type: V-fj <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />C <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 />[a' Filters <br />[� Pumps <br />I U r -�{ Las <br />Chlorinator <br />Flowmeter <br />Or G%u n ✓' re U -C ✓Tf L1 <br />Gauges <br />[� Skimmer & Gutters <br />Back Flow Prevention <br />Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />Pool Shell <br />[a' Fencing/Gates <br />l7 ytJP- rS q no( Ye -%7 oo <br />[� Decking & Coping <br />/ <br />LU Y 6 A O W2 r 2 hat uc <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />Q [.0 Gt Y O z / do <br />a Rescue Pole <br />0 <br />V B o 0 '-'7 8 f <br />[9� Life Ring <br />[ESafety Signs <br />❑ Lifeguard <br />[a' Pool/Deck Lighting <br />[3' Ladders/Hand Rails <br />11-e Cz a r �C r <br />j� Depth Mazkers/riles <br />e/ — r <br />First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />[� Showers <br />Toilet & Dressing <br />[� Ventilation <br />WATER QUALITY <br />[[(� Chlorine <br />pH <br />Cyanuric Acid <br />Er Clarity <br />❑- Test Kits <br />MISCELLANEOUS <br />[� Supervision & Control <br />[� General Sanitation <br />Algae <br />Influent <br />i <br />Effluent.I <br />Time In: <br />Received By: <br />Inspected by: <br />� cc.t�� <br />Time Out: / O 5 <br />EHD 36-01 05-29-2007 ✓ Page I of <br />J <br />