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SAN JOAQUIN COUNTY <br />.y <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3 d Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />qCt FOpa <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: '' U^n ," Date: S • 2- % <br />Address: City: Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: Program Record: Inspection Type: P(ve,� <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <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 andmustbe corrected as indicated: <br />❑ Filters <br />I S <br />t f �� T q4+ <br />❑ Pumps <br />^,- 11� <br />GH N'4 _ C.CWMGi4.ti• T' <br />❑ Chlorinator <br />❑ Flowmeter <br />/k .yr _ <br />/ '^� <br />El Gauges <br />n�/� <br />y �yQ ,�t...2k Lj f <br />C] Skimmer & Gutters <br />❑ Back Flow Prevention <br />Un <br />^ rtt & . U gil <br />El Main Drain Cover <br />aA-R. <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />E]Fencing/Gates <br />'I L <br />3 U eQn 0 eP4 I- S <br />❑ Decking & Coping <br />f% <br />6 b G G+u.rK t OII�- <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />. W <br />❑ Rescue Pole <br />CH. M ocidz&vee - <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />CUA <br />❑ Depth Markers/Tiles <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 />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: <br />Received By: l <br />r �W_t�M11,wnTvSF/✓73b <br />Inspneed by: <br />Time Out: <br />EHD 36-015/26/05 Pa. -e — 01' <br />