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�.I . SAN JOAQUIN COUNTY <br />" & 90NMENTAL HEALTH DEPART NT <br />1868 tdst Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sigov.org/,ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORTSf, <br />Name of Facility: Date: <br />Address: ity: Zip Code: - 3 <br />Owner/Operator: elephone: I <br />Program Element:`2- Program Record: �0 Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />^7 4 <br />Chlorine (ppm): <br />C-- <br />0 r� <br />Cyanuric Acid (ppm): <br />Temp: M)o F- <br />V� <br />Reinspection on or atter: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetCode Violations and must be corrected as indicated: <br />❑ Filters <br />V _ I ? �� ` A <br />l / v �Y <br />El PUMPS <br />i <br />UGr <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />I,r� <br />2 i� I/!�, .t (i., 7k 4 ' , <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />^ / <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />❑ Pool Shell <br />3 &A' <br />❑ Fencing/Gates <br />3 <br />❑ Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />1124 10,1102 <br />_❑ Rescue Pole _ <br />❑ Life Ring <br />❑ Safety Signs <br />C <br />IV <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />© -L� �/, , - L ../ <br />7 wTitn u� �G <br />❑ Depth Markers/riles <br />' <br />7 <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS..�}- <br />� <br />❑ Showers <br />❑ Toilet & Dressing <br />Awl, '114 - <br />[j Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />SCJ �' n , <br />E]pH <br />_ <br />❑ Cyanuric Acid <br />A.GI/ <br />❑ Clarity <br />I <br />E] Test Kits <br />MISCELLANEOUS <br />p <br />❑ Supervision it Controlxt <br />_' nv . !� 3CIf <br />_ <br />(rtQ�(S1 l.{ �am 6442plv5d <br />❑ General Sanitation <br />❑ Algae <br />'''nnn-, <br />Influent: l \ -�1iiiir' 1 1 <br />` \ <br />Effluent: <br />S � <br />f <br />Time In: <br />Received y: <br />� <br />nape ted by: <br />Time Out: 'L, �b <br />EHD 36-015-8-12 SWIMMING POOL OR // Page -1.9t 4- <br />