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gln. SAN JOAQUIN COUNTY <br />ENVI..JNMENTAL HEALTH DEPARTMLwT <br />'• 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />qPp''^N`P Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />,SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Date: <br />Address: l City: Zip Code: <br />Owner/Operator: nL� Telephone: —(Q <br />,S <br />Program Element: Program Record: Z q Inspection Type: ell VLL <br />Flow Rate (gpm): <br />6 <br />pH: <br />6� <br />Clr?nejj��{{PPpm): <br />v p <br />Cyanuric Acid (ppm): <br />0 <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health& Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />I Y-1 I f D ° <br />V/v" <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />C_ <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />` `�- <br />❑ Main Drain Cover <br />_• <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />t IVi fv I <br />❑ Pool Shell <br />�/l eIlah Q <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />PI) � k- !�I � v� <br />❑ Wade Pool - 2 Main Drains <br />/PINY <br />,L. 1 �'1•li ��` <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />J <br />t'1 /JJ� <br />L] Life Ring <br />❑ Safety Signs <br />/ <br />f'- <br />/Lifeguard <br />Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers riles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />y <br />❑ 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: d U <br />Effluent: ® <br />n <br />Time In: <br />° <br />i <br />R cel ed y: <br />Inspected by: <br />-C . P G t".� ( le L <br />Time Out: ° <br />END 36-01 5-6-12 SWIMMING POOL OIR Page — of <br />