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SAN JOAQUIN COUNTY <br />? ENVIRONMENTAL HEALTH DEPARTMCNT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />�FOP <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Date: (j <br />Address: City: Zip Code: �j T <br />Owner/Operator: Telephone: <br />Program Element: Program Record: Inspection Type: yZ <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 Code Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />` Z N <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />l c q <br />C� <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />.CONSTRUCTION <br />r <br />❑ Pool Shell <br />❑ Fencing/Gates <br />d4L Xd,T(0 A, <br />❑ Decking & Coping <br />Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />�KGGwur-^ �LLQ.X�c <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />r <br />❑ Lifeguard <br />p 4 i cSA ate <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />-A is� <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />• <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />_ <br />WATER QUALITY <br />❑ Chlorine <br />n • <br />❑ pH <br />❑ Cyanuric Acid <br />r <br />❑ Clarity <br />Test Kits <br />MISCELLANEOUS <br />®�(.Q, !.. •A�.� <br />L1 Supervision it Control <br />Q <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />- //, �`lo ' <br />too &.t—M -., /J_ S A&& <br />U'r/`�'t-cR`le•cel <br />Time In: <br />e B :�Y�('� <br />%� A <br />Inspected by: <br />U/Aau <br />Time Out: <br />EHD 36-017-18-08 SWIMMING POOL OIR <br />