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ip <br /> SAN JOAQUIN COUNTY <br /> EN',.rMMENTAL HEALTH DEPARTN,�NT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209)468-3877 Web:www.sigov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: H4& Date: tl <br /> Address: City: M161t, Zip Code: <br /> Owner/Operator: S elephone: <br /> Program Element: Program Record: Inspection Type JZ[) <br /> Flow Rate <br /> Rate(gpm): pH: Chlorine Cyanuric Acid(ppm): Temp: CU V <br /> OF Rei pedion on or after. <br /> �, , Cc- <br /> RECIRCULATION <br /> mOther: <br /> r4(gb qDU CG <br /> RECIRCULATION <br /> EQUIPMENT The marked violations represent Health &Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters ffj1 <br /> ❑ Pumps / <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges rr ff i 4 <br /> ❑ Skimmer&Gutters VL K <br /> ❑ Back Flow Prevention JA ! / <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover A <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping / <br /> ❑ Wade Pool—2 Main Drains <br /> SAFETY EQUIPMENT ! Q <br /> El Rescue Pole <br /> IeVL <br /> ❑ Life Ring <br /> ❑ Safety Signs t It 19 admv <br /> CI l t Ci <br /> ❑ Lifeguard L�^6 <br /> ElPool/Del)eck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits )� d <br /> ❑ Emergency Shut-off Switch /r r V <br /> F-1Showers " / � r / <br /> Showers � Gt <br /> ❑ Toilet&Dressing GSA /1 r <br /> ❑ Ventilation x/v <br /> WATER QUALIT <br /> ❑ Chlorine <br /> ❑ pH I G <br /> ❑ Cyanuric Acid <br /> ❑ Clarity 4`'4 <br /> ❑ Test Kits <br /> MISCELLANEOIYS ';,. '`� �~ <br /> El Supervision&Co 1 <br /> ❑ General Sanitation <br /> ❑ Algae a & � 6 <br /> t <br /> Influent: <br /> Time In: Re ive , .By: V spected by: <br /> Effluent: O �L t Time Out: <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page J—of 4, <br />