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SAN JOAQUIN COUNTY <br />EN'vkONMENTAL HEALTH DEPARTN,—,JT <br />'. 600 East Main Street, Stockton, CA 95202-3029 <br />s. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT,, <br />Name of Facility: fir' ? <br />Date: <br />Address: <br />City: <br />Zip Code: <br />OwnedOperator: <br />Telephone: <br />- <br />Program Element: I Program Record: <br />Inspection Type: <br />6 yt S -Fyd I <br />Flow Rate (gpm): <br />pH/:/ <br />Chlorine (ppm): <br />—3.(25 <br />Cyanuric Acid (ppm): <br />>r00 <br />Temp: <br />Reinspection on or after. <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety <br />Code Violations and must be corrected as indicat : <br />❑ Filters <br />❑ PumIS <br />FE O l� t N V 10 <br />Chlorinator <br />lowmeter <br />T C7 <br />❑ Gauges <br />8 f <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />FZ0pnj r <br />El Main Drain Cover <br />�, <br />I �► ` <br />0 <br />❑ Equalizer Line Cover <br />CONSTRUCTION, _ <br />!D „1 n,� <br />COY/ t✓V <br />O <br />,�n, m <br />r Y <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />i <br />❑ Wade Pool - 2 Main DrainsQdA <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />rVA <br />❑ Life Ring <br />Safety Signs <br />I n <br />Lifeguard <br />r <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth MarkersMas <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />I <br />kb <br />ro U r <br />❑ Showers <br />r <br />1 <br />❑ Toilet & Dressing <br />❑ Ventilation <br />Chlorine <br />pH <br />- , <br />f t <br />Cyanuric Acid <br />Clarity <br />Test Kits <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: 2, <br />Effluent: <br />Time In: <br />R d <br />Ins <br />Z3�z <br />by: <br />1 <br />Time Out: <br />EHO 36-017-31-09 SWIMMING POOL OIR L�O'd�2 Page_W_ <br />