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SAN JOAQUIN COUNTY <br /> EN vIRONMENTAL HEALTH DEPART1..dNT <br /> 600 East Main Street, Stockton,CA 95202-3029 <br /> • c... P . Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> 9��FpR to <br /> SWIM ING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: q1-.2 o <br /> Address: �� City: Zip Code <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Q Inspection Type: V42Lr <br /> Flow Rate(gpm): pH: Chlorine ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters p• Q�„ <br /> ❑ Pumps <br /> ❑ Chlorinator �f <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 /> 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 /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Time In: t iro ed By: Inspected by: <br /> Effluent: �i <br /> Time Out: <br /> EHD 36-0105-29-2007 Page uI- / <br />