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o SAN JOAQUIN COUNTY <br />OP❑�...CO <br />EN\,.RONMENTAL HEALTH DEPARTh,—IVT <br />" 600 East Main Street, Stockton, CA 95202-3029 <br />�.. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SL/FORN`P <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />spkrf� <br />Name of Facility: Date: <br />Address: City: Zip Code: <br />Owner/Operator: • wj4aTelephone: <br />Program Element: Program Record: 0 Inspection Type: <br />Flow �� pm): <br />pH: <br />Qhlorirte (ppm): <br />{O.O toza. <br />Cyanuric Acid (ppm): <br />b <br />Temp: h3 '3tit <br />V <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 />❑ Filters <br />j� <br />6 hille'd <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />—i'jk <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 />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />k4� ^ y� <br />o— 1 <br />Effluent a I f ( <br />Timeln: d•� ;" <br />(;_0 <br />R ceived By: <br />Inss/p/lecteJJd by: <br />Time Out: <br />EHD 36-017-18-08 SWIMMING POOL OR <br />