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SAN JOAQUIN COUNTY <br />E , RONMENTAL HEALTH DEPAIT ENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />§_INIPI,MING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: f Pe 1,44Ar A/ fria4tert 611g,j; Date: V k <br />Address: ffe,Gia Th424016 MIL-4 City: kiyat Zip Code: <br />Owner/Operator: I Telephone: <br />Program Element: Program Record: Inspection Type:)/O() <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 />nb4/..., etv„,,,,,, cm 0,1,....a, 3D)C ,,0 Fil ters <br />• Pumps <br />• Chlorinator <br />IN Flowme <br />104Z,' itcti,ti Ini/Otit M Gaugester <br />IN Skimmer & Gutters <br />• Back Flow Prevention f , 1 <br />A 'A! ( A ,AL_.' . /, L .• 4.! II Main Drain Cover <br />9 ez ' .311-04 etifrA444-"----Nty dir14047;ted , 7e, A...-::e ..,---4_, II Equalizer Line Cover <br />IN Pool Shell 214 014 JIttAel <br />II Fencing/Gates <br />• Decking & Coping <br />',,,,,,e ,..t--- . Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />Rescue Pole <br />• Life Ring <br />IN Safety Signs <br />• Lifeguard <br />• Pool/Deck Lighting <br />M Ladders/Hand Rails i•, '.—• !.......mmnia....— — I. Depth Markers/Tiles 0 ‘ 1 i k MI First Aid Kits <br />II Emergency Shut-off Switch a 0 <br />, <br />i . • • Showers <br />• Toilet & Dressing 0 <br />M Ventilation I ,A <br />• Chlorine \ <br />MI pH <br />/ • 1 / .• III Cyanuric Acid <br />MI Clarity <br />/1)0 ,f <br />, ' / <br />0 114 L <br />., <br />1 <br />Lill!id • <br />Test Kits <br />; . , . - <br />So <br />MISCELLANEOUS <br />Supervision & Control <br />(9 / II General Sanitation _ <br />• Algae <br />Influent: <br />Effluent: <br />Time In: Received B : i - • - • b y : ' i A o' •0 <br />Time Out: 1 0a3q- .0 <br />EHD 36-01 7-31-09 SWIMMING POOL OIR <br /> Page of