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OPq'U,I/y C SAN JOAQUIN COUNTY <br />y � ENV 1RONMENTAL HEALTH DEPARTMr-NT <br />304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.orglehd <br />4ctco PN <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: 5 <br />k_tn� <br />Date: 2-1 ?--OS <br />Address: 2p <br />City: <br />Zip Code: <br />Owner/Operator: <br />Telephone: a 9 -Q `73 <br />Program Element: (( <br />a Program Record: ��ta <br />(� DI <br />Inspection Type: �v 1lnlL <br />Flow Rate (gpm): <br />p <br />,.` <br />Chlorine (ppm): <br />4f6k <br />14U�•D <br />Cyanuric Acid (ppm): <br />Poo( sP� <br />lop Insghan <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />e m ed violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />h c, i- o r Ic.G n <br />cwt b I- z <br />❑ Pumps <br />( <br />y,.4_ <br />h,p+ (� <br />❑ Chlorinator <br />❑. Flowmeter <br />�' 0.^^ <br />I - 2 <br />❑ Gauges <br />Ro a L <br />-^4:> wank -1 <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />12 LGI'` <br />O " <br />--2--J C -S <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />i %A LLO �j <br />CONSTRUCTION <br />_PCM +Y -A- <br />v4,i- • D do <br />❑ Pool Shell <br />❑ Fencing/Gates <br />S <br />b <br />%Yo <br />❑ Decking & Coping <br />L'5) <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />6 <br />O ( 5 <br />El Rescue Pole <br />�. <br />❑ Life Ring <br />❑ Safety Signs <br />Yo0 ( r•. <br />❑ Lifeguard <br />$ TOO <br />h o 8 W 0. <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />un <br />❑ Depth Markers/Tiles <br />LOO ck <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />- <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />t <br />Lo Wj'u-d o (t61'i-O r •W rL'%_ l o y- +0 <br />ElVentilation <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 />��p I <br />Influent: <br />9 3� <br />Effluent <br />' <br />Time In: I ,3o <br />Time OuL•`a' I O <br />ece' ed By: <br />Inspected by: <br />Q`�/.+C <br />'7"' <br />EHD 36-015/26/05 Page I of <br />J <br />