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aP SAN JOAQUIN COUNTY <br />r E f&RONMENTAL HEALTH DEPAR?WNT <br />1868 ast Hazelton Avenue, Stockton, CA 95M5-6232 <br />iFL <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: --PA-ee y7, Date: Z Z <br />Address: City: Zip Code: <br />Owner/Operator: ,t Telephone: <br />Program Element: Program Record: 2�(e6'3Inspection Type::/Ce�, q-�,p- C/ZGA, <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />f <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 />�� Gi/LGGtv'7C <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />` <br />❑ Gauges <br />AlmVSE <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />ov, <br />❑ Equalizer Line Cover <br />. " ' CONSTRUCTI4 . <br />❑ Pool Shell <br />_ <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />�- r - ✓V <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 />❑ Emergency Shut-off Switch <br />-- - <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: <br />Effluent: <br />Time In: <br />RJe e'ved By: <br />J <br />In ected by: <br />Time Out: ^ <br />Y , r <br />EHD 36-01 5-8-12 SWIMMING POOL OR Page _of <br />