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"P SAN JOAQUIN COUNTY <br />EN ONMENTAL HEALTH DEPARTI, JT <br />C -1 <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: <br />Date: ! <br />Address: <br />City: <br />Zip Code: Q <br />Owner/Operator: <br />Telephone: 9s' <br />Program Element: Program Recor : a5/ <br />Inspec on Type: <br />Flow Rate (gpm): <br />pH: <br />I Chlorine (pipm): <br />�� <br />2' " v„ <br />C ncRfc�i `F <br />V -I V <br />Temp: <br />Reinspection on or after : <br />Other. <br />RECIRCULATION EQUIPMENT <br />The marked violations representTFea_ffF&_S_affatV <br />Code Violations and must be corrected as indicated: <br />❑ Filters <br />yLb <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />_ <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 />_ <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />({ <br />Influent: ( r L <br />`�'1 � <br />Effluent: b <br />�5t <br />ime In: O WR ed y <br />Time Out:, <br />pj Wlnsp cted by: <br />? <br />...�37 <br />EHD 36-01 5-8-12 SWIMMING POOL OR Page -1 of <br />