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n., SAN JOAQUIN COUNTY <br />Er �ONMENTAL HEALTH DEPART 'NT <br />600 East Main Street, Stockton, CA 95202-3029 <br />"z�aY <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Date: <br />Address: <br />City: <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: Program Record: <br />Inspection Type: <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 & Safet <br />Code Violations and must be corrected as indicated: <br />❑ Filter <br />❑ Pumps <br />❑ Chlorinator <br />p <br />�— <br />❑ Flowmeter <br />S <br />t- <br />❑ Gauges <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 />SAFETY EQUIPMENT`'` <br />❑ Rescue Poole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />— <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />�I <br />,c <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />7� VIM <br />❑ Supervision & Control _ _ <br />❑ General Sanitatio <br />❑ Algae <br />It <br />Influent: <br />Effluent: <br />Time In: Receive <br />Time Out: <br />Inspected by: <br />/W <br />EHD 36-017-31-09 SWIMMING POOL OR Pane I of r <br />