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"'" SAN JOAQUIN COUNTY <br /> 2. "�` z ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �.. �p Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> 4�;Fo.Ra <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: 0 b 3 5 0 Date: - I T d <br /> Address: a S re n Cc,M 0 City: S1 K n Zip Code: I E 2 0 6 <br /> Owner/Operator: 0 1 0 5 ru };n L 1 Telephone: l� 3 Coo <br /> Program Element: Program Record: P9 (J 56 00 $6 Inspection Type: RO LA } <br /> Flow Rate(gpm): pH: Chlorine <br /> Ilorine(�m): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> a• a b ewe !Oo <br /> 7 0 y CC _ a Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters T—Wc,.r- I'yh35 4 OCri (s t� � 't i l <br /> ❑ Pumps <br /> ❑ Chlorinator i h Wee <br /> ❑ Flowmeter r <br /> ❑ Gauges 2 c4nd r A ; 15 1,605 t T G r re t. <br /> ❑ Skimmer&Gutters T 14 Jk 4 `1 y� 2 W � <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover D r,e a YtA 0 h Z e r Cover <br /> ❑ Equalizer Line Cover �'✓) S S: n r c U i h l cj e C K <br /> CONSTRUCTION <br /> ❑ Pool Shell T � 9 4 G r u <br /> 1 ri ` n n .20 <br /> ❑ Fencing/Gates e r h h t4 e 7 G h }a <br /> ❑ Decking&Coping J r r / <br /> ❑ Wade Pool—2 Main Drains a p � + t B r L O !d r <br /> SAFETY EQUIPMENT be UW, CG r_r_a c 4 r h I w e e k <br /> ❑ Rescue Pole <br /> ❑ Life Ring S _ q h IA I Q C O' O <br /> le <br /> ❑ Safety Signs /•c, i <br /> ❑ Lifeguard 1 2 O 0 U U <br /> ❑ Pool/Deck Lighting n C X S e C4o n a Y` 4 U r� q <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 /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits 1I11 <br /> MISCELLANEOUS IIIO4e; Vhct / 4O 41Arh 0h 1--yAls Qnqbie 4a Ch F1 <br /> ❑ Supervision&Control L <br /> El General Sanitation 1 C : O W A or- b <br /> ❑ Algae WI,, <br /> 92r h 4,5 o CC E4 f 0 <br /> Influent: �] <br /> d� Time In: 9:iS ec ive Inspected by: <br /> Effluent: Time Out: ()'OS <br /> EHD 36-0105-29-2007 C Page--L—of <br />