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, f <br /> OPgUIN SAN JOAQUIN COUNTY <br /> ENS,..,ONMENTAL HEALTH DEPARTN,_ JT <br /> c• � <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �4�FOR�`P Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> 15-1WIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: � �}61 . fl-P Date: <br /> Address: 11ACity: Zip Code: rj <br /> Owner/Operator: Telephone: <br /> Program Element: ProgramRecorcV Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> "fRECIRGULATION"E;QUIP,MENT___ The marked violations represent Health &Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters 1, <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention �, ` � •��D ✓�¢. �i f � <br /> ❑ Main Drain Cover (�M� <br /> ❑ Equalizer Line Cover <br /> ` 0 � N._ <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains �Di �✓ <br /> iftv <br /> Sle<FETEQUtPMENT '' CL ,, `'�1 'e -,� L_ <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs ,�, v� 74- e6w of � gy. A4/ <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> �� �, �, <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch - � <br /> ES 0 0_ S All / iL{� <br /> ~❑ Showers <br /> ❑ Toilet 4gX9F g <br /> ❑ Ventilation p <br /> ❑ Chlorine. <br /> ❑ pH <br /> ❑ Cyanurip Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCLANEOfI <br /> ❑ Supervi ion&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: iJPeAra s�c.eh <br /> Cm`►µ <br /> Time In: R eived By: I sp cted by: <br /> Effluent: Time Out: <br /> EHD 36-01 7-31-09 SWIMMING POOL OR ` Page of <br />