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�.1 . SAN JOAQUIN COUNTY <br /> 'y. t Er -10NMENTAL HEALTH DEPART" -NT <br /> :;le i• 1868 Last Hazelton Avenue, Stockton, CA 952v. -6232 <br /> ...a ` Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: 9. Date: '% / 25 <br /> Address: 1ty: Zip Code: `T d07 <br /> Owner/Operator: Q 9 Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> RECIRCULATION EQUIPMENT.. The marked violations represent Health&SafetyCode Violations and must be corrected as indicated: <br /> ❑ Filters C <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter D <br /> ❑ Gauges <br /> � t <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 <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 <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision& Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Time In: I Received By: I s e ed by: <br /> Effluent: O (A,✓` '"v/ <br /> Time Out: t <br /> EHD 36-01 5-6-12 SWIMMING POOL OIR Page 'f- <br />