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9 <br />Pculn., SAN JOAQUIN COUNTY <br />.o <br />ENVIRONMENTAL HEALTH DEPARTMENT Q [P%7 <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Ro- Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: C< Date: .,–Z—I–\'Z <br />Address: 'Z Or City: Zip Code: q Z <br />Owner/Operator: ' (� �, ..J Telephone: –1 l "Z, – SL S <br />Program Element 3( \Q 3btL rogram Record: 3�0 t lb 2,S3 Inspection Type: <br />Flow Rate ( m): <br />pH: <br />7•� <br />Chloe a (ppm): <br />a2� cc0� <br />Cyanuric Acid (ppm): <br />Temp: <br />CCOI <br />Reinspection on or after. <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters1 <br />C'� <br />❑ Pumps <br />1 <br />–� <br />❑ Chlorinator <br />❑ Flowmeter <br />` iT�Jc\1cn <br />❑ Gauges <br />-- <br />2 �, C- JYN r� C, <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />C� vJ <br />❑ Equalizer Line Cover <br />.'CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <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 <br />❑ Ladders/Hand Rails <br />❑ Depth Markersfnles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS:. - <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />--.Q <br />WATER'QUALITY <br />❑ Chlorine <br />- <br />\ S <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />2 <br />S \ <br />2 <br />Time ln: GCIZ Rece d Birl <br />C� <br />Time Out: "�- QS / <br />Inspected by: <br />K - U\ r\h p\ <br />Effluent: <br />�" <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page <br />