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x1n., SAN JOAQUIN COUNTY <br />B RONMENTAL HEALTH DEPART -NT <br />600 East Main Street, Stockton, CA 95202-oJ29 <br />F: Telephone: (209) 468-3420 Fax. (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility:„ Date: 11 6 /(7 <br />Address: .gCity: W Zip Code: <br />Owner/Operator: Tele e: <br />Program Element: Program Record: Inspection Type: V44 4B9102 'I'D <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspection on or after: <br />Other: <br />REQtitCULATiON EQUIPMENT_ <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />J <br />- <br />[_1 Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />N,p_ <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />a Ax <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />BWAZL NW4Y,- A�a-� a-Ae— <br />CONSTRUCTIQ4 <br />If <br />iW <br />❑ Pool Shell <br />❑ Fencing/Gates <br />l <br />❑ Decking & Coping <br />'L� v <br />❑ Wade Pool - 2 Main Drains <br />-SAFETY.EQUIPM'ENT' ” <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />�, Q��� v <br />v�w� yiiii <br />El 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 />N071 <br />E]yC <br />Cyanuric Acid <br />❑ Clarity <br />_ <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: <br />Rece a <br />X <br />Inspect�et"d by: <br />11VhpQ�y�y� - <br />Time Out: <br />EHD 36,017-31-09 SWIMMING POOL OR r Y I Page 4— of / <br />