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SAN JOhQUIN COUNTY <br /> EP RONMENTAL HEALTH DEPART :NT <br /> �, 600 East Main Street, Stockton, CA 95202-3029 <br /> swr' 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: 26T�- City: Ic.L_c al Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: M/ /V <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> RECIRCULATION EQUIPMENT The marked violations re resent Health <br /> &Safe Code Violations and must be corrected <br /> rasnindicated: <br /> ❑ Filters r P./•ev� LvK/LT�/— / / r"wTut g <br /> ❑ Pumps <br /> ❑ Chlorinator fit✓ / <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention 7 y/ <br /> ❑ Main Drain Cover l OC1I� <br /> / <br /> El Equalizer Line Cover A41 / <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> [I Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT V ' <br /> ❑ Rescue Pole G <br /> ❑ Life Ring <br /> ❑ Safe ns <br /> E] L Wl+. .G1 u ci <br /> [IP ghting <br /> [I Lad Rails <br /> 0160 41 &vue, <br /> E] Dep s Tiles A <br /> ❑ First Ad <br /> ❑ Emergency°S&t-off Switch <br /> '.. R ES 1,-k OPP S a; <br /> ❑ Showers <br /> ❑ Toilet & Dressi4y <br /> ❑ Ventilation A 47 <br /> WATER QUALITY <br /> ❑ Chlorine <br /> lg <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity y 4i rock <br /> ❑ Test Kits <br /> MISC ELLANE0U <br /> Iil <br /> ❑ Supervision & Cont <br /> ❑ General Sanitation Se <br /> ❑ Algae 0 <br /> Q <br /> I E'= j <br /> Reo I ed By: In p ted by <br /> hL1� 'nU4'c''@Y. '►��, '' Timeln: Ir�� : <br /> Effluent '� t Time Out: ..I- ` W <br /> EHD 36-01 7-31-09 SWIMMING POOL OR Page 1 of <br />