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ip <br />SAN JOAQUIN COUNTY <br />ENvirtONMENTAL HEALTH DEPARTM"4T <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: tt�Date: jr,13t It 05 <br />Address: LJ City: Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: Program Record: Inspectton Type:- /2D <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Reins ction 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 />/ <br />❑ Pumps <br />� <br />�({ <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />U <br />❑ Pool Shell <br />E]Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool — 2 Main Drains <br />E <br />SAFETY EQUIPMENT -_ <br />❑ Rescue Pole <br />n y� <br />/ !� <br />❑ Life Ring <br />❑ Safety Signs <br />a o <br />❑ Lifeguard <br />❑ Pool/Deck Lighting&*Lej— <br />E) Ladders/Hand Rails <br />❑ Depth Markers/riles <br />eA a ,a <br />t.�- •�- • <br />id Kits <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />07 r <br />RESTROOMS ' <br />11 U <br />❑ Showers <br />0 Toilet & Dressing _ <br />64 <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />?.G� 0m7o'a �qjc"d• Cam <br />F] 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 el <br />Re ived By: <br />Inspe ted by: <br />�b `— <br />Time Out: r /,yam <br />EHD 36-015-8-12 SWIMMING POOL OIR V / Pagej—of-l— <br />