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04 <br />SAN .JOAQUIN COUNTY <br />-"� EI RONMENTAL HEALTH DEPART .NT <br />�c�!• 600 East Main Street, Stockton, CA 95202-3029 <br />"�L.tsiP"r Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: V/ 09 :5cwA4w,&*x <br />Dater -/Z -!O <br />Address: XbO (•J. <br />41A City: <br />7 <br />Zip Code: q5-5 ? <br />Owner/Operator: Su W}ryr cQ[�y-74' V IL (10 <br />PROVSo <br />Telephone: <br />Program Element f4,j/-3(d Z Program Record: 4j1§Q6rtW <br />fW3"418 <br />Inspection Type: kb t(77A.-Iq <br />Flow Ra pm} <br />pH: <br />Ct*ri�l (ppm <br />K. <br />Cyanuric,Acid (ppm): <br />JZ <br />Temp: <br />/O <br />Reinspection on or after: <br />Ot <br />Other: <br />RECIRCULATION EQUIPMENT;; <br />The marked violations represent Health & Safety <br />Code Violations and must be corrected as indicated: <br />❑ Filters <br />/ <br />ElPumps <br />❑ Chlorinator <br />❑ Flowmeter <br />© Tj^tE2 � <br />R T/fF 4t1,//TS <br />/S iK j5 So-�L T7fE <br />El Gauges <br />/�VS�rL/;Tc <br />FjrJ CvuFQS j7ft E <br />QrCq� �1V c��reuy <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />PLS- rj-*tS S K -C-7- o <br />?`re /vry,N <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <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 />_ WATER QUALITY <br />❑ Chlorine <br />❑ pid <br />—_ <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />M115CELLANEOU5 ���`. <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: / <br />=[e <br />eln: /v�st7 <br />Received By: <br />� - <br />Insp c ed bEffluent: <br />/:3c0� Out: <br />EHD 36-01 7-31-09 SWIMMING POOL OR <br />L 1' Page _4 of / <br />