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SAN JOAQUIN COUNTY <br />EN' IONMENTAL HEALTH DEPARTr NT <br />a 1868 East Hazelton Avenue, Stockton, CA 952uj-6232 <br />Telephone: 209 468-3420 Fax: 209 468-3877 Web: www.s' ov.or /ehd <br />P ( ) ( ) 19 9 <br />SWIMMING POOL OFFICIAL INSPECTION REPORT, <br />Name of Facility: <br />Date: <br />Address: <br />City: <br />Zip Code: <br />Owner/Operator:nii� <br />Telephone: <br />,. <br />Program Element: Pr gram Record:: U <br />3 <br />Inspection Type : <br />Flow Rate (gpm): <br />pH: <br />�t / <br />�,8�SY <br />Chl6`e� !J+' p <br />6 •Z cc% <br />Yanudo Acid (ppm): <br />L�7�`J-''l <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 />❑ Filters <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />V <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />SAFETY. EQU.I.PMENT <br />/4-14 A4111 <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markerslriles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />- <br />❑ Showers <br />❑ Toilet & D 11tr <br />❑ Ventilation - <br />g _. <br />-WATER (1UAE <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />v X <br />d <br />❑ Clarity <br />❑ Test Kits "`•',•� <br />' MISCELLANE. , <br />❑ Supervision & Contro <br />, <br />ra <br />n •,��/ aa <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />0 <br />Effluent: <br />Time In: ' <br />Received By: <br />- <br />In e <br />e y• <br />_ � 33 <br />Tlme Out: r <br />v AAAA <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page J—of <br />