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a� N SAN JOAQUIN COUNTY <br /> ENVIk6NMENTAL HEALTH DEPARTMEN f <br /> " $ 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)466-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> ��%FOAL <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: V-� Date: -0 13 <br /> Address: ) City: L o � Zip Code: 5 D <br /> Owner/Operator: Telephone: <br /> Program Element: 3(Q(I Program Record: Q 0 C30 Inspection Type: (24LKIA C-4i O <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: -- ] Reinspection on or after: <br /> Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator — <br /> ❑ Flowmeter b �� &n so <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters L c r2 cu r a <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover U <br /> ❑ Equalizer Line Cover — 00 <br /> CONSTRUCTION r� <br /> _ ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking &Coping CID <br /> ' <br /> ❑ Wade Pool-2 Main Drains lett-6lrtL , 'tb r On 'bl-4 0 L LD LJi <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring r eRes4yw rl,u , � s LS <br /> ❑ Safety Signs + <br /> E] Lifeguard <br /> ❑ Pool/Deck Lighting ) noc+ zGi r <br /> ❑ Ladders/Hand Rails 1 � Ljr a <br /> ❑ Depth Markers/Tiles r n0 r <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS ` <br /> Showers <br /> ne <br /> Toilet& Dressing <br /> — _ r <br /> ❑ Ventilation r <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 /> Ty <br /> lmeln: f�.'3D Received By//:�� In acted / <br /> Effluent:: 14,5 <br /> Time Out: �-�W <br /> EHD 36-01 7-18-08 SWIMMING POOL OR <br />