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SAN JOAQUIN COUNTY <br /> Er -�ONMENTAL HEALTH.DEPART' - <br /> "'NT <br /> N' <br /> 1868 East Hazelton Avenue, Stockton, CA 95�.,.i-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: zt~ Date: ILA <br /> Address: s City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: to <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: W Reins ection on or after: <br /> Other: <br /> AR C3ROUL'ATION;EOUIPM - Them rked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps RAAQ <br /> ❑ Chlorinator ti <br /> ❑ Flowmeter ^� <br /> b ❑ Gauges <br /> ❑ . Skimmer&Gutters 6' o <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover ,e <br /> = CONSTRUCTIO Na *' (,!/ l/L i <br /> E] Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> Wade Pool-2 Main Drains <br /> ,FETYeEOUIPMENT� Ii01>d" <br /> ❑ Rescue Pole ° <br /> ❑ - Rin V" Ll._ 8 AA44, <br /> ❑ fety Si6ns <br /> ❑ Lifeguard <br /> Pool/Deck Lighting Zz <br /> tj Ladders/Hand Rails f�U21C.A� <br /> Depth Markers/TilesQ y <br /> First Aid Kits w I u— '/w0--1 <br /> Emergency Shut-off Switch 2 Qr h kv v$ >SL rQ <br /> ,�n,.rd; ,a'3_,RESTROOM SIc' <br /> Showers <br /> Toilet& Dressing <br /> Ventilation W� <br /> WATER!OV A . ,`C_ <br /> Chlorine Xkjv? it: <br /> PH <br /> Cyanuric A i I I <br /> Clarity <br /> ❑ Test Kits <br /> t,r=�Kr LLANEOUS• <br /> ❑ Supervision&Control - <br /> ❑ General Sanitation LZ Zev <br /> ❑ Algae pp� <br /> Influent: IVY. `•'� <br /> 1 Time In: +as�_dR e i v d B 1I(Y'�n n ted b y: <br /> Effluent: '""rI P D I,/fosf-033 <br /> Time Out: i Y <br /> EHD 36-01 5-6-12 SWIMMING POOL OR ( ItdVP � v,Pedra.toa esycetJ c.6� Page-I--of <br />