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PpU1N ' SAN JOAQUIN COUNTY <br /> a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3`d Floor, Stockton,CA 95202-2708 <br /> .. P, Telephone: (209)468-3420 Far:(209)464-0138 Web:www.sjgov.org/ehd <br /> 4(%FORS <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: CLA)Z Date: 7—// — p <br /> Address: City: Zip Code: <br /> Owner/Operator: .-� . -K hyt' - Telephone: 96 9— O <br /> Program Element: Program Record: 3�,p Inspection Type: _ N <br /> Flow Rate(g/pm): pH' Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> S6o � C -5 610 Other: <br /> =Y <br /> Z ' RECIRCULATIONEQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> 'o <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges VfO �' <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention /J r <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover I jr <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/DeckLighting le Qa O L <br /> ❑ Ladders/Hand Rails �r <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits jp IJ 7, %- <br /> ❑ Emergency Shut-off Switch <br /> RFSTROOMS <br /> ❑ Showers _ 17j- <br /> Toilet <br /> -Toilet&Dressing <br /> ❑ Ventilation <br /> WATER QUALITYP <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> ' P�0 <br /> Influen[:6 AIJII f <br /> V6 <br /> 6I Time 7 ° q ece ed By: I In Insp ec ed by: <br /> / 101.. .L <br /> Effluent: � <br /> Time Out: � e �5 �` 4il�i J. Cy� <br /> EHD 36-01 5/26/05 Page_of <br />