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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Q: a 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 Telephone: (209) 468-3420 Fax: ,(209) 464-0138 Web: www.sjgov.org/ehd Cikoai'' SWIMMING POOL OFFICIAL TNR1131RCTTnN uF.Pnurr Name of Facility: Date: Address: o { City: Zip Code: Owner/Operator: Telephone: Program Element: 6 Program Record: PC Z 60 �2 6 Inspection Type: L.2 - Flow Rate (gpm): 3s p pH: 7. Chlorine (ppm): FC Cyanuric Acid (ppm): Temp: Reinspection on or after: 7` iii -Ob Other: RECIRCULATION EQUIPMENT ❑ Filters The marked violations represent Health& Safety Code Violations and must be corrected as indicated: 1 - U 3.6 0 J-6 Z ❑ Pumps ❑ Chlorinator II 1JS k f LSs' Wit - t�A Oa4- ❑ Flowmeter 'SS 2lvt T b 3,911 6 ❑ Gauges ❑ Skimmer & Gutters ❑ Back Flow Prevention _ dV r ❑ Main Drain Cover ❑ Equalizer Line Cover - CONSTRUCTION ❑ Pool Shell- ❑ Fencing/Gates 80d &!t4. / /J /� _�E P.,' Vt wp ❑ Decking & Coping E]Wade Pool - 2 Main Drains SAFETY EQUIPMENT ❑ Rescue Pole d OItG ❑ Life Ring ❑ Safety Signs z ❑ Lifeguard ❑ PooUDeck Lighting ❑ Ladders/Hand Rails Mac ❑ Depth Markers/riles ❑ First Aid Kits ❑ Emergency Shut-off Switch ✓c'Dma 51� RESTROOMS -m -a_ D po ! %1� - X125GC ❑ Showers ❑ Toilet & Dressing ❑ Ventilation WATER QUALITY ❑ Chlorine V • ❑ pH ❑ Cyanuric Acid 3 'L /C anj '1IIrr ,p- ❑ Clarity p� fjG)I ❑ Test Kits MISCELLANEOUS" ❑ Supervision & Control /,,J ❑ General Sanitation ❑ Algae f �L Influent: V�il Qr Effluent: 0 /Time n % / OA Ti n:� Received By: Inspected by: LJ'Uv�-ta��e✓" Out: EHD 36-01 5/26/05 Page — of _.