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SAN JOAQUIN COUNTY <br />EIV v'IRONMENTAL HEALTH DEPARTIVIriNT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/chd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: 9 Date: 1. 0 ey <br />Address: / City: Zip Code: G% <br />Owner/Operator: (c_ Telephone: aD9' <br />Program Element: Program Record: Inspection Type: - <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 />r / • r( <br />❑ Chlorinator <br />❑ Flowmeter <br />1 <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />" <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />'MAI, 'P'ez�tlri <br />E]Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />y <br />J <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent <br />Ttme In: <br />ecei ed,By: <br />�� a �� <br />�' 0 }.�/�• <br />Inspecte by• <br />10t -A" <br />Time Out: / '0 <br />EHD 36-01.05-29-2007 Page I of <br />