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SAN JOAQUIN COUNTY ENV[ NIMENTAL HEALTH DEPARTMF A*!" 1868 East Hazelton Avenue, Stockton, CA 95205-ut32 o Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd SWIMMING POOL OFFICIAL INSPECTION REPORT MAJ = Major Violation OUT = Not in Compliance COS = Corrected on-site See reverse side for code sections and general requirements that correspond to each violation listed below. Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code section(s) 116043, 116040, & 116050. All violations must be corrected within specified timeframe. Violations that are classified as "MAJOR"pose an immediate threat to public health and must be corrected immediately or be subject to closure pursuant to California Code of Regulations (Title 22) section 65545. ALL EHD STAFF TIME ASSOCIATED WITH BRING G THIS FACILI NT0 COMPLIANCE, INCLUDING REINSPECTIONS, WILL BE BILLED AT THE CURRENT HOURLY RATE. VIOLATION MAJ OUT COS 1 Pool Gates ❑ ❑ ❑ 2 Pool Enclosure ❑ ❑ ❑ 3 Safety Signs ❑ ❑ ❑ 4 Safety Equipment ❑ ❑ ❑ 5 Restrooms and Showers ❑ ❑ 6 Hose Bibb Anti Siphon Device ❑ ❑ ❑ 7 Pool Deck ❑ ❑ ❑ 8 Pool Deck and Lighting ❑ ❑ ❑ 9 Ladders and Handrails ❑ ❑ ❑ 10 Disinfectant Residual ❑ ❑ ❑ 11 Combined Chlorine Concentration ❑ IN 12 pH Level ❑ ❑ ❑ 13 Cyanuric Acid Concentration ❑ ❑ ❑ 14 Chemical Water Test Kit ❑ ❑ 15 Operation Records -- ❑ ❑ 16 Water Clarity ❑ ❑ ❑ 17 Cleanliness of Pool ❑ ❑ 18 Pool Shell and Tile ❑ ❑ 19 Depth Markers ❑ ❑ 20 Depth Marking Line ❑ ❑ 21 Water Level ❑ ❑ 22 Skimmer Assembly - ❑ ❑ 23 Pool Inlets and Outlets ❑ ❑ 24 VGB Suction Covers ❑ ❑ ❑ 25 Spa Emergency Shut Off Switch ❑ ❑ ❑ 26 Spa Operating Temperature ❑ ❑ ❑ 27 Pool Equipment Room ❑ ❑ 28 Safety Vacuum Release System ❑ ❑ ❑ 29 Recirculation System Operation ❑ ❑ ❑ 30 Pool Equipment & Plumbing Maintained ❑ ❑ 31 Disinfectant Feeders ❑ ❑ ❑ 32 Chemical Control and Monitoring System ❑ ❑ 33 Minimum Turnover Time ❑ ❑ 34 Maximum Flow Rate ❑ ❑ ALL EHD STAFF TIME ASSOCIATED WITH BRING G THIS FACILI NT0 COMPLIANCE, INCLUDING REINSPECTIONS, WILL BE BILLED AT THE CURRENT HOURLY RATE. VIOLATION MAJ OUT COS" 35 Flow Meters ❑ 36 Pressure and Vacuum Gauges ❑ ❑ 37 Electrical Hazards ❑ ❑ ❑ 38 Filter Cleaning and Maintenance ❑ ❑ 39 Wastewater Disposal ❑ ❑ 40 Spray Ground UV Disinfection ❑ ❑ ❑ 41 Spray Ground Pumps Interconnected ❑ ❑ ❑ 42 Spray Ground Recirculation System ❑ ❑ ❑ 43 EHD Approval Required ❑ ❑ ❑ 44 Lifeguard Certification ❑ ❑ 45 Lifeguard First Aid Equipment ❑ p 999 1 Other ❑ ❑ ❑ ALL EHD STAFF TIME ASSOCIATED WITH BRING G THIS FACILI NT0 COMPLIANCE, INCLUDING REINSPECTIONS, WILL BE BILLED AT THE CURRENT HOURLY RATE. Time In: Time Out: Rec tl Inspected By EHD 36-01 Rev. 08/08/16 Page 1 of SWIMMING POOL OIR