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Name of Facility: Date: 6 D mli.trj (u it) ffor&i, s'uur-s <br />Program Element: '3(p 1( Inspection Type: Rpcir ratite Program Record: <br />( Effluent: <br />Flow Rate (gpm): Chlorine (ppm):5;10 <br />P'ee <br />Cyanuric Acid (ppm): Reinspection on or after: pH: Temp: <br />Other: <br />Address: City: 1( A) <br />Owner/Operator: A 6 Reffigirr U41,44.4 6503924rro() <br />Zip Code: 7,5-3?4 <br />Telephone: <br />Time In: 9\ Received <br />Time Out: 11(5,p <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />c1-641-Tilver qui it/ c55 ex.d. Ai <br />( CAI 6-A strd--457 <br />ap 2 Mtvp... /iv< Arr Q, eoRiteer TO et) 7-6t, 17/c <br />CORCee76 rb o PP°7 rp o RAAJ6E. <br />Pt to 1) JL&H "Tr) cgo55 pea. N6 r 47-TRef1cn, <br />Fro. 774 <br /> 6-34-r-ii Sc&it. ict. r Pos 4 (loce_raqemp <br /> d/(1-6 Ri 4,4-7-62 /1&s 5 6z) As itie-e7TD ,6)4/ <br />$ <br />T7/8 Le Fs ize /A)7?,0 E- 5 t Ffrr #.46 ., 7'EP kPc P <br />OH L.e.kr )14-7-e_k_ A. pulp e04, _ALE PR_O-6 rieE <br />7i93 i t.v 8 5Ker- <br />Rvopp dcc. (09(,, ,007- 9't6D RAO <br />P11 Alta) 1-(Ar_).ert D4 /4 <br />CI Pool Shell <br />Fencing/Gates <br />EI Life Ring <br />CI Safety Signs <br />CI Decking & Coping <br />CI Wade Pool — 2 Main Drains <br />CI Lifeguard <br />Pool/Deck Lighting <br />CI Ladders/Hand Rails <br />CI Depth Markers/Tiles <br />First Aid Kits <br />6.6 upGRADEs •PoirZ foca_ 1-itque REEiti <br />&;,h4 rik-76( AMO est)//v6.7bNtLi //Ai 1169-427/ <br />CI Emergency Shut-off Switch <br />El Showers <br />CI Toilet & Dressing <br />Ventilation <br />Chlorine <br />Li pH <br />Li Cyanuric Acid <br />Clarity <br />CI Test Kits <br />000 <br />Supervision & Control <br />General Sanitation <br />Algae <br />N D 5/9Arl otç 5C-e7-7041 (6G6 4 / ,Z fiiz <br />1)&8 edr6k A 1*-5 Pius r- 18-E do M 2 9 <br />) 2.0to c 7-w_1 /462e kg) r- d 0 nip&7 -•s• <br />tl Y 7 -1 • /15 ZYM VouR_ Pon t- &.) 141, 6u - 84 <br />Th aosu ref _8_9 v/is p&ozorr. <br />Influent: <br />Rescue Pole <br />In e ted by: <br />Filters <br />CI Pumps <br />"K Chlorinator <br />Li Flowmeter <br />Gauges <br />Skimmer & Gutters <br />0 Back Flow Prevention <br />CI Main Drain Cover <br />Equalizer Line Cover <br />/9.• SAN JOAQUIN COUNTY . <br />EN RONMENTAL 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 REPORT <br />END 36-01 7-31-09 SWIMMING POOL OIR <br />s)) <br />Page of