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R4V1 SAN JOAQUIN COUNTY <br />ENV -)NMENTAL HEALTH DEPARTM- 'T <br />1868 Ea.,r Hazelton Avenue, Stockton, CA 9520n-0232 <br />°'' ., Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sigov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: ✓ T/ Date: 6,713711q <br />Address: �fj�N. City: Zip Code: <br />Owner/Operator:/✓ Telephone: 3U — '3 <br />Program Element: Program Record: 0-369 A Inspection Type: <br />Flow Rate (gpm): <br />pH: (1 <br />Chlorine (ppm]: <br />Cyanuric Acid (ppm): Temp: <br />✓rit ✓I <br />Reinspection on or after: <br />Other. <br />RECIRCULATION EOUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />(f !l <br />772 <br />❑ Pumps <br />7- <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />11 CONSTRUCTION" <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />- - <br />- <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markerslriles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />R <br />_ Showers <br />El Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />— - <br />❑ Clarity <br />❑ Test Kits <br />"MISCELLANEOUS' - <br />_ <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: ' <br />Time In: <br />Received By: <br />Inspected by: <br />���{ 27 <br />Time Out:Aep <br />EHD 36-01 5-8-12 SWIMMING POOL OR Page — of <br />