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SAN JOAQUIN COUNTY <br /> Ei,,rIRONMENTAL HEALTH DEPAR'. -NT - <br /> • 1868 East Hazelton Avenue, Stockton, CA 9205-6232 <br /> " Telephone:(209)488-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> r; s <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: it Date: <br /> Address: boo YIrw l City: Zip Code: qx"-Zlz 6:711 <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reins ection on or after: <br /> Other: <br /> RECIRCULATION EQUIPMEN Them rked violations represent Health&SafetyCode Violations and must be corrected as indicated: <br /> ❑ Filters5�? <br /> ❑ Pumps <br /> ❑ Chlorinator qe iL[. <br /> ❑ Flowmeter <br /> b ❑ Gauges �[ <br /> ❑ Skimmer&Gutters <br /> �+ f r� <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover ,( �t1 e. <br /> CONSTRUCTION:. 44'r' 44 <br /> , <br /> ❑ Pool Shell ,,� /J� /� p, 4t-C�p <br /> E] Fencing/GatesLGa <br /> i!t SCJ: �J 4'C� ' rG�.✓J <br /> ❑ Decking&Coping <br /> Wade Pool—2 Main Drains <br /> FET.Y-EQUIPMENT.._ <br /> ❑ Rescue Paje <br /> E] Rin w l� Glut. Gfl *' ed'R rd—, <br /> fety ; CUA <br /> ❑ Lifeguarcr <br /> Pool/Deck Lighting \,7/' <br /> Ladders/Hand Rails <br /> Depth Markers/Tiles [ � — � <br /> First Aid Kits 1 t, <br /> Emergency Shut-off Switch Q1 }(i*1k! 06 k <br /> _„"RESTROOMS - _ <br /> Showers <br /> Toilet& Dressing <br /> Ventilation <br /> s,.WATER QLtAWO <br /> Chlorine NkWV 17 <br /> pH <br /> Cyanuric A i <br /> Clarity rl <br /> ❑ Test Kits <br /> LLANEQUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> lnfluent: <br /> 1 Time In: as R e i d 8 ted by: <br /> BA �G „C}3 <br /> Effluent: Time Out: ( c Y <br /> EFiD 36-01 5-8-12 SWIMMfNG POOL DIR ,rr0Q.&&S5�� I`` r d� Page of <br /> fit' 1. <br />