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•••�.� oveet, st0 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 l wwW_ <br /></FON •l��r.orp%NI w .�:.% n�. <br />SWIMMING POOL OFFICIAL . INSPECTION REPORT` <br />Noma of Facilifv 4. .n M h.,w s -[n . <br />Address:City: Zip Code: !-/ <br />Owner/Operator: Telephone: <br />Program Element: Program Record: Inspection Type: <br />Flow Rate (gpm): 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 />❑ Chlorinator <br />❑ Flowmeter <br />` w <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />1 c q <br />G� <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION lij <br />El Pool Shell <br />A/teAot a& 10 <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />_ <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />r <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />�] ^ � � <br />p f -�4 _ c�Q�i AZ4iYtpZNt� <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />• _/ �, it <br />A:; A �4 v <br />E] Depth MarkerslTiles <br />r <br />+ 4 <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />v • <br />❑ pH <br />❑ Cyanuric Acid <br />r <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />Supervision & Control <br />❑ General SanitationW-Z <br />r/ <br />' /� <br />(-1 Algae <br />Influent: <br />Effluent: <br />�^ <br />Time In: <br />Racal e B I Lh <br />br` <br />Inspected by: <br />Time Out: <br />EHD 36-017-18-08 SWIMMING POOL OIR <br />