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ip <br />SAN JOAQUIN COUNTY <br />EN` ONMENTAL HEALTH DEPARTK IT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209).468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: uUWE— <br />Date: Z <br />Address: <br />VVA City: <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: Program Record: ' <br />Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): Cyanlq �d.{pytn):_ <br />So F L y� _ ✓ w1i1 ✓ <br />• 0 C l �" in <br />Temp: <br />� nspeectio_ n on or alter: <br />/1 YG' <br />� If <br />Other: <br />.. <br />........ <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />_❑ Filters <br />❑ Pumps <br />{" <br />✓�O' <br />' <br />/ <br /><Qop am�/( <br />✓tom . t f �� <br />❑ Chlorinator <br />❑ Flowmeter <br />_ <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />IF <br />f' <br />❑ Wade Pool -2 Main DrainsCG{/Ii( <br />SAFETY EQUIPMENT <br />v v✓ <br />❑ Rescue Pole <br />t— <br />❑ Life Ring <br />❑ Safety Signs <br />4AWvkQ <br />v <br />A <br />❑ Lifeguard <br />kO $ <br />lR .lM <br />ElPool/Deck Lighting <br />❑ Ladders/Hand Rails <br />J1 <br />1' <br />❑ Depth Markers/Tiles <br />!fit b <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />-. , <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: a.o <br />Effluent: % <br />Time In: /V r� <br />Zive <br />Inspected by: <br />r! n <br />Time Out: <br />EHD 36-01 5-6-12 SWIMMING POOL OR Page — of <br />