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SAN JOAQUIN COUNTY <br /> Z F 'IRON <br /> MENTAL HEALTH DEPAF 'ENT <br /> 186b cast Hazelton Avenue, Stockton, CA 95c05-6232 <br /> �4��FORN`P Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: l'--j Date: / <br /> Address: City: 5. h Zip Code: <br /> Owner/Operator: 4--,- Telephone: <br /> Program Element: Program Record: 03U 05L.Z Inspection Type: <br /> ,ALL. /✓�- <br /> Flow Rate(gpm): pH: Chl ri e�(Qppm�i): Cyanuric Acid(ppm): Temp: Reiinnspe tion on or after: <br /> q'`t ` C Other. U�` <br /> P d' � V 1 <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> El PUMPS - t - <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> El Gauges <br /> E] Skimmer&Gutters <br /> E] Back Flow Prevention S <br /> E] Main Drain Cover <br /> E] Equalizer Line Cover 6M– vh%uWK,�- u <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates v <br /> ❑ Decking&Coping r <br /> ❑ Wade Pool–2 Main Drains (�( <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs , ' <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting Umilk 1 l k <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS v►1 U/ <br /> ❑ Showers `Q (n <br /> ❑ Toilet& Dressing t r L f <br /> ❑ Ventilation i1 <br /> WATER QUALITY <br /> ❑ Chlorine p - <br /> ❑ pH Ph <br /> yam(, <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision &Control A '^' �f `Q <br /> ❑ General Sanitation & --e �'l1 l ( e(Oka kwL-k– <br /> ❑ Algae <br /> Influent: <br /> { Time In. ! 'S Received By Inspected by: <br /> Effluent: Time Out: Y ����i�%�`�J /✓ L— <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page of_ <br />