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SAN JOAQUIN COUNTY <br /> N: <br /> Er '10NMENTAL HEALTH DEPART" rNT <br /> `• 1868 East Hazelton Avenue, Stockton, CA 95�_ -,-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> � FOR <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: C civ: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type <br /> 02 <br /> Flow Rate(gpm): pH: Chlorine ppm): Cyanuric Acid(ppm): Temp: R inspection on or after: <br /> -7- 2- Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter nl <br /> < . I <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION t <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates da <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2 Main Drains <br /> SAFETY EQUIPMENT may` y� <br /> ❑ Rescue Pole „�J <br /> ❑ Life Ring LibLX(1 <br /> ❑ Safety Signs C <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails O <br /> ❑ Depth MarkerslTiles <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: Received By: nspe ted by: <br /> I�: <br /> Effluent: <br /> Time Out: 0334 <br /> EHD 36-01 5-8-12 SWIMMING POOL OR Page 1.of , <br />