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SAN JOAQUIN COUNTY <br />EN..,CONMENTAL HEALTH DEPARTN—AT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Date: <br />Address: City: Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: Program Record: Inspection Type:Alalo2z <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 />!� <br />❑ Pumps <br />LlWAV D_11gW <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />i <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />-- -CONSTRUCTION' <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />p <br />❑ Wade Pool - 2 Main Drains <br />- SAFETY EQUIPMENT; <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />/4-Rf(I2.x) JW <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RES.TR, O,OMS. <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation - <br />TwAT.g,ti S3UAL(TY - <br />❑ CyanrirjL Aijd <br />❑ Claritys <br />❑ Test Kits/ <br />-'m I'S C EMpk OrEOWS <br />1- <br />❑ SupervisionK.COntrO� <br />❑ General Saniiorj `+ <br />❑ Algae ^`. c'°,•• <br />I ^ <br />Influent: <br />Effluent: <br />Time In: <br />Received By: — <br />ns e e b <br />am CD3 <br />Time Out: <br />EHD 36-01 7-31-09 SWIMMING POOL OR `J Page I of J <br />