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ip <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTME <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: <br />Address: k a4'(, City: Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: // Program Record: 3 Inspection Type: Al t, u6-� <br />Flow Rate (gpm): <br />9 <br />pH: <br />-7 . q <br />Cht rin (prL <br />C� <br />C' -GILL. <br />Cylnu` c Aci') (p <br />S Yvt <br />3 C <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 />L]Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />Q{ . <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />GIL W <br />❑ Main Drain Cover <br />Vino, <br />❑ Equalizer Line Cover <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 />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATERT 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: f V <br />Effluent: <br />Time In: ' ov <br />RAytid <br />Inspected by: <br />Time Out: <br />J` I <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page — of <br />