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A4UIn. SAN JOAQUIN COUNTY <br /> EN" DNMENTAL HEALTH DEPARTP T <br /> Y. 1868 East Hazelton Avenue, Stockton, CA 952,--6232 <br /> ``<<Fo '" Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: �f/l <br /> Program Element: Program Record: OOO�/�V pection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> REClRCUVATION1EQUIFMENTA The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> �4 <br /> ElPumps <br /> ❑ Chlorinator r <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 CCI <br /> SAFETYJEOUIPMEN I <br /> ❑ Rescue Pole / C <br /> ❑ Life Ring <br /> ❑ Safety Signs �- <br /> ❑ Lifeguard c <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/files <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS� <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation r <br /> WATER,10UAltrx lr■ ,tom/ 7A9 <br /> ❑ Chlorine / T <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> � Mt.SCELVANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Time In: eceived By: s p e d by: <br /> Effluent: .�� O I �� <br /> Time Out: b I / <br /> EHD 36-01 5-8-12 SWIMMING POOL OR P.- Of <br />