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/o.t" ••••.(4\ , SAN JOAQUIN COUNTY
<br />EN\,.,ONMENTAL HEALTH DEPARTN ,JT
<br />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: /-,--- //1-7 ,,,, 0 c,, d 6- 0 v-deri A p I- 3 Date: ‘,—/4,—/J
<br />Address: :2 ? ‘:) 2_ cc' / m L) 00 d ..,,,4,_/ ,e_ city: .‹;---1-0 c _/..-._ 1-zi ,-) Zip Code: 95..20(/
<br />Owner/Operator: Fro id< 5e4 I t ,,,,, , -_.-1_, et__ i j-r7 0_,,c,,- .e._ z,t ,' i i L, cip, ., -/i-teiTA14,99-0: (--/ &e--,/ - --; 6 2 9
<br />Program Element: 3t 1 I Program Record: p r3 t, 3 ,'--L, 3 6 / Inspection Type: pi ('l ' p ,
<br />Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp: Reinspection on or after:
<br />Other:
<br />RECIRCULAT ON EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />Filters
<br />Pumps
<br />III Chlorinator
<br />II Flowmeter
<br />• Gauges
<br />Skimmer & Gutters
<br />• Back Flow Prevention
<br />2)0
<br />, • ,
<br />U ty14" y.R. , GI Fa__ -Cone-no-101 pLac_e_cd • Main Drain Cover
<br />p - r o pe ,Y' 1
<br />• Equalizer Line Cover
<br />i
<br />I Pool Shell
<br />• Fencing/Gates
<br />II Decking & Coping
<br />IN Wade Pool — 2 Main Drains
<br />E Rescue Pole
<br />• Life Ring
<br />E Safety Signs
<br />. Lifeguard
<br />E Pool/Deck Lighting
<br />• Ladders/Hand Rails
<br />• Depth Markers/Tiles
<br />E First Aid Kits
<br />M Emergency Shut-off Switch
<br />RESTROOMS
<br />• Showers
<br />III Toilet & Dressing
<br />• Ventilation
<br />• Chlorine
<br />• pH
<br />• Cyanuric Acid
<br />• Clarity
<br />E Test Kits
<br />fth
<br />• Supervision & Control
<br />• General Sanitation
<br />• Algae
<br />Influent:
<br />Effluent:
<br />Time In: I I , ,o eive By:L V-
<br />)
<br />Inspected by:
<br />Time Out: t t ..-2,0
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<br />EHD 36-01 7-31-09 SWIMMING POOL OIR Page [ of
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