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oa4�lN. SAN JOAQUIN COUNTY <br /> ENVIF IMENTAL HEALTH DEPARTMEt <br /> N: [ <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-t,.--,32 <br /> cq(/FORa`P Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: r (n / Date: L( <br /> Address: City: Zip Code: <br /> Owner/Operator: 01 Telephone: <br /> Program Element: Program Record: 3 3� Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid (ppm): Temp: Reinspection on or after: <br /> Other: <br /> RECIRCULATION EQUIP NE.NT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator nezl' G% <br /> ❑ Flowmeter <br /> ❑ Gauges ll <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention � �� �,/, � <br /> El Main Drain Cover �� W .r AD C6 <br /> ❑ Equalizer Line Cover <br /> carlsTRticrtON°.. �:: <br /> ❑ Pool Shell �� G ✓ <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2 Main Drains <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ PooVDeck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> W,ATEJ3 QUA,1T�.. <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Time In: Received By: Inspected by: <br /> Effluent: <br /> Time Out: <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page_of <br />