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SAN JOAQUIN COUNTY <br />ENN„. .ONMENTAL HEALTH DEPARTN. <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 />Date: , 7_, <br /> <br />Name of Facility: <br /> <br />Address: <br />11 0 1 :4 7)1A,LuJ- City: LAS/ Zip Code: / e; C .2).e0 <br />Owner/Operator: Telephone: <br />Program Element: Program Record: Inspection Type: (c)rea,si& <br />Temp: <br />/EA23/15Z0 <br />Rein section on or after: Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): <br />Other: <br />ligtaiggag&,-Fra taukAm E N,Ti <br />LI Filters <br />In Pumps <br />In Chlorinator <br />fl Flowmeter <br />1=1 Gauges <br />In Skimmer & Gutters <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />apt_ <br />ciLm/uALP <br />1=1 Back Flow Prevention <br />In Main Drain Cover <br />In Equalizer Line Cover <br />)iici;4Altitt -czi414-) <br />c&Ntd 044014- <br />In Pool Shell <br />0 Fencing/Gates <br />In Decking & Coping <br />El Wade Pool — 2 Main Drains <br />fKIMMINI <br />LI Rescue Pole <br />LI Life Ring <br />Safety Signs <br />in Lifeguard <br />In Pool/Deck Lighting <br />In Ladders/Hand Rails <br />k-73/ 0 14 .Aer /k4t,eiZ <br />012)-41" r 4-4fr7 1;1J1/- (eclit vs: vkc <br />Re,66,a4147:4-e- Lgk:e-di <br />vc S vc <br />ft ,---Tac-cA2t/ <br />in Depth Markers/Tiles <br />First Aid Kits <br />LI Emergency Shut-off Switch <br />or -6 flei • <br />LI Showers <br />LI Toilet & Dressing <br />LI Ventilation <br />LI Chlorine <br />pH <br />LI Cyanuric Acid <br />LI Clarity <br />D Test Kits <br />in Supervision & Control <br />LI General Sanitation <br />in Algae <br />Influent: <br />Effluent: <br />EHD 36-01 7-31-09 SWIMMING POOL OIR <br /> <br />Time In: <br />Time Out: <br />nspected by: <br /># or <br />do1)t6()3 L1 <br />Page J . of <br />