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SAN JOAQUIN COUNTY <br /> Q r m t•, " ENVIRONMENTAL HEALTH DEPARTMhNT 14(�WIS <br /> 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> P Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> 9Cikoar' <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: fJ <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: ?;;6/2— Program Record: Inspection Type: <br /> Flow Rate(gpm): pH: Chl ne8(�pCyanuric Acid(ppm): Temp: .0 Reinspection on or after: <br /> 40 . l m): 1�/ Q Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> Filters <br /> Pumps RP <br /> ChlorinatorP5024 <br /> 07 <br /> (.i <br /> Flowmeter <br /> Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> Main Drain Cover <br /> ❑ Equalizer Line Cover Z <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates c 2- <br /> 0 <br /> ❑ Decking&Coping <br /> ❑ Wade Pool–2 Main Drains �2= <br /> SAFETY EQUIPMENT _ % <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS Gm <br /> Showers <br /> 8" Toilet&Dressing <br /> Ventilation <br /> WATER QUALITY " <br /> Chlorine <br /> pH <br /> Cyanuric Acid <br /> Clarity <br /> ❑ Test Kits <br /> 'i .. . MISCELLANEOUS - ""i' <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: j <br /> Time In: �� ived By: Inspected by: <br /> Ze <br /> Effluent* I Axe <br /> e <br /> Time Oul: <br /> EHD 36-01 5/26/05 Page_of <br />