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y,.ulrr. SAN JOAQUIN COUNTY <br /> r EM ONMENTAL HEALTH DEPARTA IT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> oR " Telephone: (209) 468-3420 Fax.(209)468-3877 VyO,:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: Z Z- <br /> Address: 1'i(i City: It-. r(, Zip Code: <br /> Owner/Operator: Pall (r 47 C Telephone: <br /> Program Element: Program Record: Inspection Type: pI(.I.L <br /> Flow Rate(gpm): pH: pl yf[q,kV hlorine(ppm : Cy nuric Acid�ppm): Temp: Reinspection on or after: <br /> ! f 7_ p .a cc 3 3D uh Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Healtph&Safet Code Violations and must be corrected as(indicated: <br /> ❑ Filters ( Cly �(/Y{.I"lt- (J Q"� C ✓�atliL]TiL(!il <br /> ❑ Pumps <br /> ❑ Chlorinator (rye <br /> ❑ Flowmeter �0 <br /> El Gauges ^ � <br /> ❑ Skimmer&Gutters f ��wln <br /> 711 q� Q <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> ❑ Pool Shell a <br /> ❑ Fencing/Gates RaviQ r/al t f (" -e kV4.(k.\' <br /> ❑ Decking R Coping 117 /� <br /> E] Wade Pool-2 Main Drains f ICe 0ry�Vi � Q <br /> SAFETY EQUIPMENT + nO� <br /> E] Rescue Pole <br /> ❑ Life Ring Gt h*i Yy <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth MarkersMies <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 /> Influent: <br /> Time In: Rec ived By: Inspected by: <br /> Effluent: l V Time Out: �. :TJ bon <br /> S• 4/I/I ty(L <br /> EHD 36-015-8-12 SWIMMING POOL OIR Page—of <br />