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OPO �N_. C SAN JOAQUIN COUNTY <br />e '-` .2 ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br />c.,._ �P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />QLikonN <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: L&) -S 4--, s poDate: <br />Address: City: Leo &j Zip Code: <br />Owner/Operator: g(-tCJr@ , 0 M--) V Telephone: 36 _ p <br />Program Element: 3Program Record: P 2 03GOS (off Inspection Type: 'Re C' c <br />Flow Rate (gpm): <br />H: <br />O^orine (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 and must be corrected as indicated: <br />❑ Filters <br />S 1 ( ` r � <br />I l• <br />[3 Pumps <br />h <br />❑ Chlorinator' <br />❑ Flowmeter <br />10 1 <br />, <br />❑ Gauges <br />1 5 0 P Oo d2. rtiaLi tn-r <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />•� <br />CONSTRUCTION <br />3 n <br />EI 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 />WATER QUALITY <br />❑ Chlorine <br />❑ PH <br />❑ Cyanuric Acid <br />❑ Clarity <br />— - - <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: 525 <br />Effluent: <br />Time lo: ��S <br />Received By: <br />Inspected by: <br />Time Out: <br />EHD 36-01 5/26/05 Page I of y <br />