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P.v.In„ SAN JOAQUIN COUNTY <br /> r E 'IRONMENTAL HEALTH DEPAR" ENT <br /> `• 186b mast Hazelton Avenue, Stockton, CA 9bco5-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: 47 -a3 <br /> Address: jll� City: x1h Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: 3 �, Q Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(p m): Cyanuric Acid(ppm): Temp: I0 Re/inspection on or after: <br /> &0 �/ �. /� GGC `8'" Other: (O— ir ( em <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters 0 cA ,o v N .o-a <br /> ❑ Pumps / 1 <br /> ❑ Chlorinator e c3 •d — d U <br /> ❑ Flowmeter <br /> ❑ Gauges f Y1 <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention 3 <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION' <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates ze vea Le6j- /2.-A L� <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 r4 L7 <br /> ❑ Ladders/Hand Rails S <br /> E] Depth Markers/Tiles <br /> ale a:ml <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 /> MISCELLANEOUS. <br /> ❑ Supervision& Control <br /> ❑ General Sanitation <br /> ❑ Algae _-7 177 <br /> h/ <br /> Influent: Ie) <br /> o Time In: R ei d By: � spected by: <br /> / <br /> Effluent: Time Out:/&j <br /> EHD 36-015-8-12 SWIMMING POOL OIR Page of 1 <br />