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/Q/,4�+n- ,\ SAN JOAQUIN COUNTY <br /> ` - EN :ONMENTAL HEALTH DEPARTL NT <br /> i; 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: G Date: – –� <br /> Address: 1CW6 1 S. dckric, City: L0 I kf Zip Code: <br /> Owner/Operator: I n de 0 kc" t Telephone: 3 f 3 2 7 G <br /> Program Element: Program Record: 2 �, S S� 2 1- Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters rpt C <br /> El Pumps IS hU� V66 C) �� Unf r <br /> ❑ Chlorinator �V" "c <br /> dElFlowmeter <br /> ElGauges � h ' our dP 3 a lo er O✓'� <br /> ❑ Skimmer&Gutters 13 W v r K h o,5 q OBn d 4 e . <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2 Main Drains <br /> Ono <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles ---------- - — <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> ❑ Showers <br /> ❑ Toilet& Dressing <br /> ❑ Ventilation <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> ❑ Supervision &Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> iv d B : Inspec <br /> Time In: Re ey <br /> ted by: <br /> �� . �� N� <br /> Effluent: ' , <br /> Time Out: <br /> EHD 36-01 7-31-09 SWIMMING POOL OR Page 1L—ofi--- <br />