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SAN JOAQUIN COUNTY <br /> ?a EN'ViRONMENTAL HEALTH DEPARTMr-AT <br /> p 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 /> V�/FOPN <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: Z4C4S <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: dam/ <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspectio on or after: <br /> Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> Filters <br /> Pumps — <br /> �� <br /> Z Chlorinator �•E_C <br /> Flowmeter <br /> Gauges <br /> Skimmer&Gutters xfo('MAr ewxAmle �'KJ��IN A36L 'n.' <br /> Back Flow Prevention <br /> Main Drain Cover to :M • 1444::0 Er9.f_C�'/'� 'SY if <br /> ❑ Equalizer Line Cover (S 6 <br /> CONSTRUCTION <br /> Pool Shell Ck!(,p (I -5f-km e Q Roc, in)r 68'S• <br /> Fencing/Gates _ /,ti, �j�� IP� _�.. � /2 <br /> �� - <br /> Dccking&Coping N � t(� I <br /> ❑ Wade Pool-2 Main Drains fi�� C �� s NV <br /> SAFETY EQUIPMENT <br /> Rescue Pole g / LC���'f•Jyl!!L'�/ (Gtr• TN/Off <br /> Life Ring � ✓�—(/1� fB� 7!!F 'I� 0 <br /> Safety Signs <br /> Lifeguard -�—� ""�" <br /> Arlo <br /> Pool/Deck Lighting <br /> Ladders/Hand Rails <br /> Depth Markers/Tiles <br /> ❑ First Aid Kits 1101 <br /> /IB� —�a/G� <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS �— <br /> Showers <br /> Toilet&Dressing f> <br /> Ventilation <br /> WATER QUALITY <br /> Chlorine <br /> pH N <br /> Cyanuric Acids- H <br /> Clarity ` <br /> Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> y� Timeln: J Received By: Inspected by: <br /> Effluent: //V Time Out: <br /> EHD 36-01 f 5//26/05 Pagc of <br />