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Pq�.. SAN JOAQUIN COUNTY <br />EN .RONMENTAL HEALTH DEPART NT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 r" <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd rtt/d <br />SWIMMING POOL OFFICIAL INSPECTION REP013T <br />Name of Facility:` Date: &/ <br />Address: r <br />City: W1.4 Aft Zip Code: s <br />Owner/Operator: � CJ elephone: d <br />Program Element: Program Record: Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Rein pection on or after: <br />Oiher: <br />RECIRCULATION EOUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />At7 L7 <br />❑ PUMPS <br />L. bf/ <br />❑ Chlorinator <br />❑ Flowmeter <br />r <br />CIO WAI. <br />❑ Gauges <br />a29 <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />/7 , <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />.CONSTRUCTION <br />G•fG.( L , <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />v <br />GLLK/ ''r+'' l i <br />❑ Wade Pool — 2 Main Drains <br />- SAFETY EQUIPMENT <br />❑ Rescue Pole <br />�� 2 i <br />El Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />UG /�� Q C� <br />t" <br />❑ DepthMarkers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />-� <br />RESTROOMS <br />a �11GC� <br />❑ Showers <br />❑ Toilet & Dressing <br />ne <br />�C <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />j. ! _/J _ n <br />V'C (�C ((,X <br />a (�5 , 3 <br />F1 PH <br />❑ Cyanudc Acid <br />1ICP, V <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: (� <br />R ce'vac. y: <br />I spec ed by: <br />Time Out: <br />EHD 36-015-8-12 SWIMMING POOL OIR <br />Page j-- ILL <br />