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Ps.ln. SAN JOAQUIN COUNTY <br />EN` DNMENTAL HEALTH DEPARTA IT <br />R S <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />iFo a Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility:vdle44zoDate: <br />2-6 <br />Address: <br />City: <br />Zip Code: <br />is <br />Owner/Operator: <br />Telephone: <br />Program Element: Program Record: <br />Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />1/ <br />I Clplorine (ppm): <br />5' <br />O CC, <br />Cyan ric Acid (ppm): <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetyCode <br />Violations and must be corrected as indicated: <br />Filters <br />G c <br />aE� <br />� <br />A. <br />�U� <br />_❑ <br />ElPumps <br />/ <br />tgz4V2'/ <br />CGS pfok <br />30 -SO ,#k <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />/ <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />E] Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool — 2 Main Drains <br />- SAFETY EQUIPMENT <br />❑ Rescue Pole _ <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />First Aid Kits <br />_❑ <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 <br />Influent: 1{ j r t L Is 1(72 <br />Effluent: +,1��y <br />- <br />Time In: r S"' <br />R <br />ved B <br />acted by: <br />(U., 1 <br />i _-3� <br />Time Out: 3 <br />EHD 36-01 5-8-12 SWIMMING POOL OIRLl LI/ Page -3—of <br />