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op4�IN.• SAN JOAQUIN COUNTY <br /> ENS. -ONMENTAL HEALTH DEPARTN IT <br /> N'. _ < <br /> •�4�FpRN�P•• Telephone: 209 468-3420 : 209)46 3 W b:www.sigov.orq/ehd _ <br /> SWIM �cc�rr,, II LQ9- t <br /> IIV� P C�� FICI'AO�NSP CTIO �I R� T <br /> Name of Facility: Date: / <br /> Address: y: A&A&212 Zip Code: <br /> Owner/Operator: L4 Z900ephone: <br /> Program Element: P gram Rec rd: 3 I spection Type: <br /> Flow Rate(gpm): pH: Chlorine( pm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> 1 Ic'0� / 6^ Other: <br /> l l�(,J l 4�Cr <br /> ECiCULASfOE`QUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> EI Filters <br /> ❑ Pumps <br /> ElChlorinator s 1-3 ti,. dl' /�� <br /> ti <br /> ❑ Flowmeter />'� <br /> 7 <br /> ElGT Gauges P <br /> ElSkimmer&Gutters Qd 2ic <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover IfsZ <br /> ❑ Pool Shell3J 1 � <br /> ❑ Fencing/Gates f„� /,, Czfk f rt <br /> ❑ Decking&Coping -� LQ` <br /> ❑ Wade Pool-2 Main Drains <br /> ❑ Rescue Pole <br /> ❑ Life Ring ( <br /> ❑ Safety Signs / iI{.�J �f 3i /z• <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails � - <br /> s r9 <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits S 31 <br /> ❑ Emergency Shut-off Switch U owers Co �j__ Cry��te� <br /> A' 6u <br /> ze— <br /> Ej &Dressingee <br /> a <br /> E03 Venyl. <br /> ❑ Chlorine (, , J Q„� <br /> ❑ pH LU <br /> lJ <br /> ❑ Cyanuric Acid � ti y� : 4-4-1 <br /> ❑ Clarity <br /> ❑ Test Kits AOLA <br /> �j <br /> ❑ Supervision&Control ` <br /> ElGeneral Sanitation <br /> ❑ AlgaeQ�C�/ <br /> Influent: <br /> imeln: 3 Received nspe ted b : <br /> Effluent: Time Out: <br /> EHD 36-01 7-31-09 SWIMMING POOL OIR �� I Page of� <br />