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P uu. SAN JOAQUIN COUNTY <br /> EN. -_ iONMENTAL HEALTH DEPARTI, JT <br /> q <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: 3 jr <br /> Address: City: Zip Code: <br /> Owner/Operator: ile Telephone: <br /> Program Element: 3j 0/ Program Record: JCC C Inspection Type: /U1k&FVC <br /> Flow Rate(gpm): pH: Chlorine(ppm)L Cyano Sid(ppm): Temp: Reinspection on or after: <br /> r� � © Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health& SafetyCode Violations and must be corrected as indicated: <br /> ❑ Filters V/ 1N w 1�l�f. <br /> El Pumps <br /> �W` GL�W6 <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges I't <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover v <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION /) <br /> ❑ Pool Shell — ✓� _ v kp" <br /> ❑ Fencing/Gates wuwt yyvpc- + , <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring tip( <br /> ❑ Safety Signs ( d S <br /> [:1 Lifeguard <br /> ❑ Pool/Deck Lighting ({'f- I <br /> 4 162 pc r <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markersfriles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <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 y' <br /> Influent: <br /> ^ Time In: �' 11 Received By: <br /> B� y: Inspected by: <br /> Effluent: �" d Time Out: 1�,: l -((VVI IrC� <br /> EHD 36-01 5-6-12 SWIMMING POOL OIR Page_of <br />