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o,ou,N. SAN JOAQUIN COUNTY a _ EN iRONMENTAL HEALTH DEPART6._NT " A 600 East Main Street, Stockton, CA 95202-3029 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd q ikBaN� SWIMMING POOL OFFICIAL INSPECTION REPORT Name of Facility: Date: 0 Q Address:, r� City: Zip Code: � Owner/Operator: Telephone: Program Element: Program Record: Inspection Type: '08 oar Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp: Reinspection on or after: Other: RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: ❑ FiltersDdAm ❑ Pumps Gt*L rJ W � ❑ Chlorinator ❑ Flowmeter — ❑ Gauges u, ❑ Skimmer & Gutters ❑ Back Flow Prevention ❑ Main Drain Cover a r ❑ Equalizer Line Cover CONSTRUCTION �. _-A•�4pf.._J r"�w8-CGtXXJfCiI ❑. Pool Shell GQtJUt,C,Qi ❑ Fencing/Gates ❑ Decking & Coping V �S J ❑ Wade Pool - 2 Main Drains SAFETY EQUIPMENT �r p ,p r 303rV 9`l "— ❑ Rescue Pole VCS /f (CLU ❑ Life Ring ❑ Safety Signs ❑ Lifeguard _ y E]Pool/Deck Lighting ❑ Ladders/Hand Rails DYLL E]Depth Markers Tiles ❑ First Aid Kits ❑ Emergency Shut-off Switch r RESTROOMS - ❑ Showers ❑ Toilet & Dressing G� n V 5 J ip S C�• F - E]Ventilation > WATER QUALITY ❑ Chlorine — r� V 1, A-IS102-0 id2 E] pH ❑ Cyanuric Acid ❑ Clarity ❑ Test Kits MISCELLANEOUS ❑ Supervision & Control -i ❑ General Sanitation ❑ Algae 1 i Influent: Effluent: Time In: Time Out: Rec ived By: &d Inspected by: � /'b,Q�ti liZt�, V I , '" , 0`` EHD 36-017-18-08 SWIMMING POOL OR