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SAN JOAQUIN COUNTY <br /> EN,,RONMENTAL HEALTH DEPARTty NT <br /> N <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sigov.org/ehd <br /> SWIMNLING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: L Date: tol-161144 <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: t./Z2rogram Record: Inspection Type: <br /> Flow Rate(gpm): pH Chlorine(ppm): Cya uric Acid(ppm): Temp: Reinspectio n or after: <br /> Other: <br /> RECIRCULATION EQUIPMENT'_ The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters t{ ^ <br /> eil-w._ <br /> El PumpsA _LX <br /> ❑ Chlorinator <br /> ❑ Flowmeter ����/ <br /> El. Gauges SGC <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ 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 /> ❑ Showers <br /> ❑ Toilet&Dressing <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: <br /> Time In: Received By: s e d by: <br /> Effluent: <br /> Time Out: ( _�fI <br /> nEHD 36-01 5-8-12 SWIMMING POOL OIR f PageV�-- of <br />