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oP4�.IN. SAN JOAQUIN COUNTY <br /> ENS, „ ,ONMENTAL HEALTH DEPARTM—AT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> cq oR?�w Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION 'REPORT <br /> Name of Facility: r G L VQ GL Date: <br /> Address: 3 5 i City: rG Zip Code: <br /> Owner/Operator: I us h Telephone: <br /> Program Element: { Program Record: S 2�0 56 7 Inspection Type: G / <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> y V & —1• Y f-C-6 UAll 0 Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters � �; 1 <br /> ❑ Pumps :J (.'�' �; {1 f hv� 'Aciio6s! f� <br /> ❑ Chlorinator •1 u)e P �. <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back 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 /> ❑ 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 /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision & Control _ <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: / tj /3, / 3, )-? <br /> YTime In: Received By: Inspected by: <br /> Effluent: <br /> Time Out: <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page of L <br />