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SAN JUAOUIN UOUNTY <br /> E• 'IRONMENTAL HEALTH DEPAR- -7-NT O <br /> 186b _ast Hazelton Avenue, Stockton, CA 9t,-,5-6232 I �� <br /> ;�a• Telephone:(209) 468-3420 Fax:(209) 468-38T7 Web:www.sjgov.org/ehd u <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: 55 n Date: <br /> Address: F city: Zip Code: <br /> Owner/Operator: Telephone: ry• Z– 5S7 <br /> Program Element:aj,I ( lgio, 2 Program Record: Inspection Type: _ <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspe tion on or after. <br /> Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator 1 Q l � � �) - _ C l <br /> ❑ Flowmeter n_ J �( 4 1 <br /> ❑ Gauges 1[s� <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover f Q – ' <br /> ;.,•;;CONSTRUCTION _ <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping n 22 <br /> ❑ Wade Pool–2 Main Drains � S— P 2 Jnoon <br /> SAFETY EQUIPMENT -- <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> [] <br /> Poo!/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles _ <br /> ❑ First Aid Kits ( -e- <br /> F1 <br /> Q 2❑ Emergency Shut-off Switch oA <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation 3 0 C S 3 ZZ <br /> WATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH - <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS A-0 <br /> –.) - f�,– <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Timeln: R ceived Inspected by: <br /> Effluent: Time Out:"L' \L' ur*N oaee s <br /> 4 -p2,30 <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR SLA M WO v Mh M11 Page--L of l <br />