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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Eivvl ,t,tie5-f- Ho K1 Date: I _ k, ..._ o 7 <br />Address: 2.1-I 31 tA) el 44 City: Looti: Zip Code: <br />Owner/Operator: Telephone: 6 k - t 0 1 7 <br />Program Element: Program Record: Inspection Type: Pi, --iyaty.46, <br />Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp: Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT , The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />• Filters <br />ID Pag, xi) er.e.rs,- *UM 2o "r-ge't tAj((ote_ ___ • Pumps <br />pnyvt-la dap-ill .44.0 .01 4 /LA— 061-f k • Chlorinator <br />• Flowmeter <br />WO— he s /0 - • Gauges <br />• Skimmer & Gutters <br />• Back Flow Prevention - -e (D i (15 -5- Pt€1 3 k j.,"_ /A)s 1- • CI Main Drain Cover <br />aitt, C r*) q' 1 0 c A / . C v-f Alt 72-ar -gi ( • Equalizer Line Cover <br />CONSTRUCTION <br />R it in -1-Cto—so- crAdcs '(S tt) eat aA-- •fkk • Pool Shell <br />C rett (CS titc> („kr j 11.tf2_, tuutdrAi Is t - fri 01-0-g7o III Fencing/Gates <br />1 Decking & Coping t.,,t 4 lace , • Wade Pool —2 Main Drains <br />SAFETY EQUIPMENT <br />Rescue Pole <br />• Life Ring <br />• Safety Signs <br />• Lifeguard <br />• Pool/Deck Lighting <br />IN Ladders/Hand Rails <br />• Depth Markers/Tiles <br />IN First Aid Kits <br />• Emergency Shut-off Switch <br />RES T R 00 MS <br />• Showers <br />• Toilet & Dressing <br />• Ventilation <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 />Influent: <br />Effluent: <br />Time In: Received By: Inspected by: <br />Time Out: Pikv 6 Cv6 f,r, <br />EHD 36-01 5/26/05 Page of