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yln. SAN JOAQUIN COUNTY <br />EP RONMENTAL HEALTH DEPART _NT <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: <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: V <br />R inspection 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 />❑ Pumps <br />, <br />❑Chlorinator <br />❑ Flowmeter <br />(/ �- �� ' jK(11 <br />❑ Gauges <br />A , <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ 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 />❑ 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 />❑ Emergency Shut-off Switch <br />❑ Showers <br />❑ Toilet & Dressing <br />ElVentilationo <br />E] Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />0 7, <br />- CA r rL <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />0 Cit <br />❑ General Sanitation <br />❑ Algae <br />V <br />Influent: <br />Effluent: <br />Time In: <br />Time Out: <br />Race ive <br />/I/ <br />Inspected by: <br />Q. <br />EHD 36-01 7-31-09 SWIMMING POOL OIR Page 4 of J_ <br />