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ipSAN JOAQUIN COUNTY <br /> ENVIRv,AMENTAL HEALTH DEPARTMEk <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Far. (209)464-0138 Web:www.sigov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: ,w Date: <br /> Address: 0 (1 t IL/ ity: Zip Code: f <br /> Owner/Operator: Telephone: <br /> Program Element: 9 Ffrogram Record: p 3 Inspection Type: <br /> Flow Rate(gpm): Chlorine(ppfn-): Cyanuric Acid(ppm): Temp: Reinspection 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 /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention c <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover , <br /> ❑ Pool Shell <br /> OF V <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 /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> ❑ <br /> Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Time In: R e c e v y: Ins ec ed by: <br /> Effluent: <br /> Time Out: <br /> EHD 36-017-31-09 SWIMMING POOL OIR Page_of <br />