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P.u,n.. SAN JOAQUIN COUNTY <br />ENVIK,-,NMENTAL HEALTH DEPARTMEN I <br />t 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Far: (209) 468-3877 Web: www.sjgov.org/ehd <br />P <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />R <br />Date: <br />Address: <br />a— City: <br />Zip Code: <br />- <br />Owner/Operator: <br />yy{ <br />Telephone: <br />Program Element: Program Record: 02j 6p'.0 <br />Inspection Type: <br />Flow Rate (gpm): <br />51,t, <br />pH: <br />C rine (ppm): <br />Cyanuric Acid (ppm i: - • <br />ts <br />ru �S/�rfA <br />Soother. <br />Temp: <br />Reinspection on or after: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health& Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />I t'wttQy <br />Y <br />S <br />� <br />P�M <br />El Pumps <br />(/� <br />0 <br />❑ Chlorinator <br />❑ Flowmeter <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 />❑ 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 />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />— <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />— <br />— <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />k <br />Influent: I <br />ijj�{j� <br />Effluent: 1 <br />dd�e�l <br />C�j11 <br />� <br />14064 " ®Q1 <br />Time In: I <br />Recei d By: <br />Inspec d by: <br />m I rw <br />Time Out: <br />EHD 36-01 5-8-12 SWIMMING POOL OR Page _ of <br />