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n. SAN JOAQUIN COUNTY <br />EN-RONMENTAL HEALTH DEPART' -NT <br />1868 past Hazelton Avenue, Stockton, CA 95�-,..,-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: a Date: �3 <br />Address:51 City: / Zip Code: ' j <br />Owner/Operator: Q a-4a'U, elephone: [ I -. 70-0-0 <br />Program Element: VProgram Record: Jr- ' - �% specfi n Type: 14 AlrL� <br />Flow Rate (gpm): <br />10 <br />pH: <br />7: <br />Chlorine (ppm): <br />L9' If r G <br />d O CC— <br />Cyanuric Acid (ppm): <br />L,3O <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked viol ions represent Health & SafetCode Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />`-CONSTR'UCTION <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 />_ <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />" MISCELLANEOUS <br />❑ Supervision it Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: 3 PSI <br />2 <br />Effluent: <br />- A <br />Timeln: (� 30 <br />Receive By: <br />Inspec ed by: <br />�Q <br />Time Out: <br />EHD 36-015-8-12 SWIMMING POOL OR // Page j— Of 4 <br />