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Op4U1ry SAN JOAQUIN COUNTY <br /> ENviRONMENTAL HEALTH DEPARTrvi,-�NT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> hone: 209 468-3420 Fax: 209 468-3877 Web:www.s ov.or /ehd <br /> �q�oRa <br /> Telephone: ( ) ( ) 19 9 <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: 6 Date: ' <br /> Address: City: Zip Code: G' <br /> Owner/Operator: elephone: <br /> Program Element: ? Program Record. In pection Type: <br /> FI to(gpm): pH: Chlorine(ppm): Cya uric Acid(ppm): T�cno: L Rein ection on or after: <br /> ((�� � " s <br /> Oth r: <br /> S ? r 10 <br /> 0G <br /> RECIRCULATION EQUIPMENT The marked violations represent Health &Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters i <br /> ❑ Pumps wa<L not <br /> ❑ Chlorinator A-44 <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover ) nq 0 <br /> CONSTRUCTION i <br /> ❑ Pool Shell gw16 <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping ; <br /> El Wade Pool—2 Main Drains (Up <br /> SAFETY EQUIPMENT 4A AA <br /> ❑ Rescue Pole <br /> i <br /> ❑ Life Ring Jak)AAAgil t;j 7A3,10"g. <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting (LSff,: Tk AA4�� 11AW-A,,11 W, Ar#7 A4WAU Y <br /> ❑ Ladders/Hand Rails r <br /> ❑ Depth Markers/Tiles <br /> ElFirst Aid Kits c / b <br /> ❑ Emergency Shut off Switch <br /> RESTROOMS <br /> ❑ Showers <br /> ❑ Toilet& Dressing , <br /> ❑ Ventilation <br /> WATER QUALITY <br /> El <br /> d�� + YYI <br /> El Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision &Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Recei ed By:R Itnspe ted by: <br /> Time In: <br /> Effluent: S (P I Time Out: <br /> EHD 36-01 5-8-12 SWIMMING POOL OR Page of 1 <br />