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oPa��N. SAN JOAQUIN COUNTY <br /> 2' ^�`~ EN . ,,iONMENTAL HEALTH DEPARTK,,�NT <br /> X <br /> LO: 600 East Main Street, Stockton, CA 95202-3029 <br /> n, <br /> �a a�P Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> {r"bR <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: City: Zip Code: <br /> Owner/Operator: U Telephone: <br /> Program Element: Program Record: Inspection Type: r <br /> Flow Rate(gpm): pH: Chlorine(ppm); Cyanuric Acid(ppm): Temp: :inspection on after: <br /> Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health &Safe Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Sack Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> L Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> n Wade Pool—2 Main Drains <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs /) <br /> ❑ Lifeguard L <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markeraf iles IAJ�& <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> WATER QUALITY <br /> LJ Chlorine <br /> L pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> Test Kits RION <br /> MISCELLANEOUS <br /> Supervision& Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Time In: v Re ei ed By: / Inspected by: <br /> Effluent: Time <br /> Out: <br /> EHd 36-01 7-18-08 SWIMMING POOL OR <br />