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n. SAN JOAQUIN COUNTY <br />r E, RONMENTAL HEALTH DEPART .NT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility:Date: Z l0 <br />Address: City: Zip Code: <br />Owner/Operator: Telepho <br />Program Element: X? Program Record: Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />�. 11�a <br />C loiine (ppm): <br />U.0 CCS <br />Cyanuric Acid (ppm): <br />4D <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filter <br />❑ Pumps <br />/. ._ _/Q® r J_ . <br />V' " � /'^�L /✓*�C.. <br />❑ Chlorinator <br />❑ Flowmeter- <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />y?—I,-- . <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 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 />_ <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: (�` � <br />Ree c �if_vveed By: - Inspected by: <br />�i/ ZN``.utJ!/ i /.�6���O,r „ „ <br />Time Out: /,5✓(' <br />EHD 36-017-31-09 SWIMMING POOL OIR Page / of --t <br />