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SAN JOAQUIN COUNTY <br />" EN\, )NMENTAL HEALTH DEPARTM r <br />w. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT- �l <br />Name of Facility: <br />Date: <br />Address: <br />City: <br />Zip Code: <br />Owner/Operator:'444,L <br />Telephone: <br />Program Element: 36 11 Program Record: <br />p 1(0 <br />Inspection Type: <br />Flow Rate (gpm): <br />p�Af <br />pH: <br />7. <br />Chlor'ne (ppmp <br />C. <br />0•2-rG <br />Cyanuric Acid (ppm): <br />0 <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION E011lp_M <br />The marked violations represent Health & Safety <br />Code Violations and must be corrected as indicated: <br />❑ Filters <br />A <br />.D <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />Q r <br />-- <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />AM <br />AfZL'44&� <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool -2 Main Drains <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 />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />.. MISCELLANEOUSJ. <br />❑ Su ervision & r <br />❑ G ral Sanitation <br />❑ Algae <br />Inti ent: C <br />I <br />Effluent: <br />I <br />IdAw <br />4UA <br />Time In: <br />R;e�c�e'ved By: <br />—�`—� <br />nsp�e�d"b <br />i"33 <br />Time Out: ` <br />EHD- 2 SWIMMING POOL OR Page _L of _j" <br />