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M <br />OPgUIN C SAN JOAQUIN COUNTY I <br />Z' .2 <br />EN, iRONMENTAL HEALTH DEPARTM2NT <br />wf k< <br />600 East Main Street, Stockton, CA 95202-3029 <br />q ; Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /><%FOAM <br />„SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Date: <br />Address: City: Zi de: <br />Owner/Operator: el o : <br />Program Element: Program Record: Inspection Type: <br />Flo (gpm): <br />pH: <br />Chlorine (ppm )O G <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 />Z) <br />I96Z& AZ4 <br />❑ Pumps <br />❑ Chlorinator( <br />q <br />A v- <br />& <br />E] <br />e o <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Coverr�- <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />Decking & Coping <br />Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />r <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />1 <br />/ <br />❑ Depth Markers/Tiles <br />rl �, <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />LJ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />Wf ad) <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />XT, <br />3/ <br />f—]GeneralSanitation <br />❑ Algae <br />Influent: l S0 't i Q <br />I -I <br />Effluent: <br />Ce ,%Rroo) r 2 <br />r <br />� l /ems' , <br />v - <br />Time In: �o(C) <br />Received By: <br />Inspected by: <br />Time <br />Time Out: 3 o <br />EHD 36-017-18-08 SWIMMING POOL OIR <br />