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SAN JOAQUIN COUNTY <br />EN% )NMENTAL HEALTH DEPARTN T <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: tAIKQk,Date: <br />Address: t -Z City: Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: Program Record: Inspecti n Type: <br />Flow Rate (gpm): <br />0 <br />pH: <br />7 <br />Chlorine (ppm): <br />r• 0 T L <br />o . D cc <br />Cyanuric Acid (ppm): <br />-70 <br />Temp: s <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetCode Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />g <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />Zi <br />❑ Skimmer & Gutters <br />❑ Rack 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 />_ <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />U" _ /-*(L R <br />❑ General Sanitation <br />❑ Algae <br />Influent:'. 1 t <br />Effl <br />,' --- V6- 2 <br />Time In: + <br />Received y: <br />`In-�prypted by; <br />l <br />Time Out: ' <br />EHD 36-01 5-8-12 SWIMMING POOL OIR C I Page -1- of 4 <br />