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n.. SAN JOAQUIN COUNTY <br /> EI RONMENTAL HEALTH DEPART _NT <br /> t: 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> SWIMMIJ4113 POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: 10 <br /> Address: City: Zip Code: -95a/ <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: B /t7 <br /> Flow Rate(gpm): PR. Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> C CULATION EQUIPMENT The marked violations represent Health &Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters + O - <br /> ❑ Pumps <br /> ❑ Chlorinator Q <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters C ?� <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover (',�1,�j/ W,4,n 6WA <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2 Main Drains <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole v <br /> ❑ Life Ring / 02 /b _ y <br /> ❑ Safety Signs a <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting , '— <br /> ❑ Ladders/Hand Rails Jr <br /> ❑ Depth Markers/Tiles np �c(/ <br /> ❑ First Aid Kits c.YitiLtQ.Q� e <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS. �•� <br /> ❑ Showers <br /> ❑ Toilet& Dressing <br /> ❑ Ventilation <br /> WATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> vim <br /> ❑ Clarity <br /> ❑ Test Kits t `: <br /> MISCELLAN <br /> Ll Supervision & C ' trot <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: hA <br /> Time In: Recel a 0 By. Inspected by: <br /> Effluent: Time Out:I _j X �W� <br /> EHD 36-017-31-09 SWIMMING POOL OR Page-�—of <br />