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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL 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 />Name of Facility: e Date: / 2,0// <br />Address: (JC1S Ujid 9-- Lar kt City: ‘tii-P1 Zip Code: i <br />Owner/Operator: /#nhei 814/ itclf jektio Telephone: L.1-7 (8 _ my <br />Program Element: UN I Vii._ Program Record: 03( e 0 c 7g/ / 03&' Osqy Inspection Typeyttfierdpe'dikkl <br />Temp: Reinspection on or after: Flow Rate (gpm): H: <br />Sit <br />Chlorine (p m): _ L I , ir ,c-c_ <br />0 <br />. Cyanuric Acid (ppm): <br />Other: <br />-CIRCULATisitkrEcluiPmENTi, <br />El Filters <br />El Pumps <br />El Chlorinator <br />El Flownneter <br />El Gauges <br />El Skimmer & Gutters <br />El Back Flow Prevention <br />Cl Main Drain Cover <br />El Equalizer Line Cover <br />clItiORIO;O:g <br />1:1 Pool Shell <br />El Fencing/Gates <br />El Decking & Coping <br />El Wade Pool — 2 Main Drains <br />AE.E.TOEQIJIRMENIWe <br />Rescue Pole <br />Life Ring <br />Safety Signs <br />Lifeguard <br />Pool/Deck Lighting <br />Ladders/Hand Rails <br />El Depth Markers/Tiles <br />l First Aid Kits <br />El Emergency Shut-off Switch <br />RESTROOMS 1111111111 <br />l Showers <br />CI Toilet & Dressing <br />Ventilation <br />WATER QUALITY <br />El Chlorine <br />pH <br />Cyanuric Acid <br />Clarity <br />DI Test Kits <br />,Mnifirs7-6KEWNEROA, <br />111 Supervision & Control <br />El General Sanitation <br />Algae <br />Influent: <br />Effluent: <br />END 36-01 7-31-09 SWIMMING POOL OIR <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />$9 ii441paSO't `PI/1'W 91/1,( -7 2N( <br />yoxf-t, Iv • 0•F-- *IlL C7) e etfrt Lk kra Altai <br />soc 144,-,ectat - yl/it <br />ene cierkl 710 he abekeik <br /> <br />Pgpe, hi)e,41 1 at,f redWonl 1444400 <br />vedit< vev )YØ • Afj_ex . <br />/ock-ecd <br />0369oCeilf <br />714(1 u a V `C C67,(4 4 414-141 (Plitt <br />-7/41/ 1t/t( ( If- <br />CS1 kftive PAO 6,41 Qprifeked <br />-fr V&3 Mit— sh I I Pe . <br />Ph p 04/ Pilo z* it-iff <br />v9 LAI I— 0531f . <br />Time In: <br />4Ie of <br />PH I <br />TimeOut: 0', a <br />X <br />Received By: