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ip <br />SAN JOAQUIN COUNTY <br />ENV )NMENTAL HEALTH DEPARTM• T <br />1868 East Hazelton Avenue, Stockton, CA 95205-ti232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sigov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: ", <br />�;, <br />Date: <br />Address: <br />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): <br />Cyanuric Acid (ppm): <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 indicated: <br />❑ Filters <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />T <br />�� <br />P <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />7%r <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />_ <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />/ <br />SAFETY EQUIPMENT <br />/ <br />❑ Rescue Pole _ <br />❑ Life Ring <br />/ <br />❑ Safety Signs <br />1-2 <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth MarkerslTiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch7- <br />!: R.ESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />/ <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 />Effluent: <br />Time In: <br />Rec a y <br />i CNe by: <br />Time Out: <br />EHD 36-015-8-12 SWIMMING POOL OIR Page CR of <br />