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SAN JOAQ1UIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: 5 „r),..t...siep_i 4 04-1_4_4_4_ 0 _,pa,4_,77,,, „4_..5. Date: _•2_5 iv <br />//,,i Address: i m i 9 IA, ot..,,n - R d Cit y: , 5 -iv c-Pft) r-i zip Code: <br />Owner/Operator: 7 (P 1 art 4-41 Fe2,11t.A. —T:,r_,--, / ge--n. Telephone: 4, 0 9 ___(0„, 47, y <br />Program Element: 3(0 / 1 -1 Program Record: p R_ (03 (4 5 2 Inspection Type: rze 1,-)_5 2-2...e_c_41`ar”) <br />Flow Rate (gpnn): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp: Reinspiection on or after: <br />60 Other: <br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />Filters <br />Pumps <br />• Chlorinator <br />• Flowmeter <br />• Gauges , <br />all -1)-I 0 COC-11% LAM) -1-1. -1 -24 —0 Cr • Skimmer & Gutters <br />• Back Flow Prevention <br />ket/Ur-e__ 10-4-0--y1 C-O-1\-4-e-e-4-e • Main Drain Cover <br />. Equalizer Line Cover <br />CONSTRUCTION <br />• Pool Shell <br />• Fencing/Gates <br />• Decking & Coping <br />• Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />• Rescue Pole <br />• Life Ring <br />• Safety Signs <br />• Lifeguard <br />• Pool/Deck Lighting <br />• Ladders/Hand Rails <br />• Depth Markers/Tiles <br />• First Aid Kits <br />• Emergency Shut-off Switch <br />RESTROOMS <br />Lii Showers <br />• Toilet & Dressing <br />Li Ventilation <br />WATER QUALITY <br />• Chlorine <br />• pH <br />• Cyanuric Acid <br />• Clarity <br />• Test Kits <br />MISCELLANEOUS <br />• Supervision & Control <br />• General Sanitation <br />• Algae <br />Influent: #-) <br />Effluent: <br />0 Received : Inspected by: <br />Time Out: GI :.5 0 0.41.1 Ar d- iz., 1 <br />----Yria...t,;12,d74,67 1,4,-,L2 luck <br />0 <br />EHD 36-01 5/26/05 Page 1 of