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>4°'N SAN JOAQUIN COUNTY <br />y ?� ENVIRONMENTAL HEALTH DEPARTTvL__+T <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />9GiFopN <br />SWIMMING POOL -OFFICIAL INSPECTION REPORT <br />Name of Facility:,.. <br />], Date: <br />Address: <br />City: <br />Zip Code: Jr� <br />Owner/Operator: <br />Telephone://�� <br />Program Element: Program Record: <br />Inspection Type: r/c�'3 <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 />a <br />❑ Pumps <br />u <br />❑ Chlorinator <br />❑ Flowmeter <br />ff <br />❑ Gauges <br />` <br />❑G <br />Skimmer &Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />41 <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />' <br />❑ Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />• <br />�.' ` <br />❑ Rescue Pole <br />4h4f V <br />M. -AK <br />❑ Life Ring <br />❑ Safety Signs <br />_ t- <br />7'� -efa <br />vr <br />�" <br />./J�/` <br />❑ Lifeguard <br />t3 r �LQkn <br />Z /L .G - Va ` <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />7J"""-rxe+vet..t�tLLC[.Gl <br />❑ Depth Markers/Tilessy�u�aQ.e- <br />/Lp-1L( , <br />,lam e- <br />F1 First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />Qom-. <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 />lOuene <br />Effluent. <br />Thne In: Received Ey: <br />Time Out: �\ <br />In ected by: <br />EHD 06-0105-29-2007 <br />