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SAN JOAQUIN COUNTY <br />EN ONMENTAL HEALTH DEPART NT <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 REP <br />Name of Facility: ,14 ~-4,1- 19/24,17,it 4. 4 (e:/- --1, Date: 7////)gR <br />Address: ? j 1 a a tei,,n,e4p,i_ City:jipet -4i--1 Zip Code: <br />Owner/Operator: 40,g1/1-7-j711- /9/).--)71. Telephone: <br />Program Element: OW Program Record: ee) 340 a zia,i? Inspection Type: <br />Flow Rate (gpm): pH: <br />7 e (;) <br />Chlorine (ppm): <br />9.. 0 r c._ <br />0 --(cc <br />Cyanuric Acid (ppm): <br />ki..u- ti-r ail <br />3 0 <br />Temp: Reinspection on or after: <br />Other: <br />The marked violations represent Health & Safe' Code Violations and must be corrected as indicated: <br />If recet069( .t (#1/ 8,,,6 Filters <br />• Pumps / dpevi/((7, l3v v if .4?,,/,fry > /-1-404, i 0 m/ e IIChlorinator <br />• Flowmeter ajtv,6 o.r f-e/1-7c."-e",7.1 , M Gauges <br />' ill aim ara(k( Li 11,07A) viii M-e • Skimmer & Gutters <br />• Back Flow Prevention <br />MA- 4I my-poi kti /kohl - lAt1444ct - • Main Drain Cover D pool Caioaei 4- ts M'citikt, Ili . Equalizer Line Cover l e <br />4-1544-e-es,( % 12'44 - • Pool Shell D ppol kafid Qi-i-e 4 ii-j, friA( • Fencing/Gates <br />. Decking & Coping <br />PA/1.66. M Wade Pool — 2 Main Drains <br />, (Atte- 11-e1,p.._ vziflpa r • Rescue Pole <br /> 7 , 4, 1 a/KJ-m.4A et frk iderA° • <br />II Safety Signs <br />i-el/ta 0(1-- 7. ?.D • • Lifeguard <br />II Pool/Deck Lighting <br />ac- 74 I 1 c kto,A) awkv.A4m 1---a eVA • • Ladders/Hand Rails <br />II Depth Markers/Tiles <br />II First Aid Kits <br />• Emergency Shut-off Switch <br />• Showers <br />• Toilet & Dressing <br />• Ventilation <br />II Chlorine <br />• pH <br />• Cyanuric Acid <br />Clarity <br />Test Kits <br />MISCELLANEOUS <br />LI Supervision & Control <br />• General Sanitation <br />• Algae <br />Influent: <br />Effluent: <br />-----) <br />Time In: 'Viii„p Re ce v : ) Ins cted : <br />Time Out: / 0? sit) > , <br />EHD 36-01 7-31-09 SWIMMING POOL OIR Page 1 of