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Q r SAN JOAQUIN COUNTY <br />EN ONMENTAL HEALTH DEPARTI. JT <br />/ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />j Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Date: �L <br />Address: r City: Zip Code: e? <br />Owner/Operator: <br />0/3 -de Telephone: <br />Program Element: flProgram Record: 3&0424Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />�' io <br />Chlorine (ppm): <br />3.119 � <br />C • a cc-, <br />Cyanuric Acid (ppm): <br />?`ic <br />Temp: <br />Reinspection on or after: <br />Other: <br />;' CIRCULATION EQUIPMENTe. <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />"no <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <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 />WATEWQUALITY' <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />-_; MISCELLANEQUS: <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: 22 , t <br />f <br />Effluent: l 7f �s ( <br />.._. (00 tt 'L JDIE� <br />Time In: S <br />ce've By: <br />t d by: <br />.y�y� I <br />✓i/'"L•-� <br />Time Out: <br />EHD 36-015-8-12 SWIMMING POOL OR v Page -lot I <br />