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`4 SAN JOAQUIN COUNTY <br />ENv.RONMENTAL HEALTH DEPARTtv,_NT <br />" 600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />��/FORa <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Date: 7 y <br />Address: <br />City:TqT <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: Program Record: <br />Inspection Type." 16 /Ozo <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <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 />❑ Pumps <br />✓ <br />i Sn <br />❑ Chlorinator <br />❑ Flowmeter <br />r <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />o <br />❑ Main Drain Cover <br />a <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />atoll <br />yy <br />i1fL� SD <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />° <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />Wd <br />W <br />7 IlQ - <br />RESTROOMS <br />If <br />/ ,—,/ <br />444' (.( M1W- �A 6aq"Z- Vlt ° , l (A- <br />El Showers <br />❑ Toilet &Dressing <br />y , n. y <br />/� •X -f. <br />❑ Ventilation <br />, <br />WATER QUALITY <br />[ Chlorine <br />• <br />a /J. `� <br />❑ PH <br />❑ Cyanuric Acid <br />❑ Clarity <br />[ Test Kits <br />MISCELLANEOUS <br />11.. <br />KJ <br />a <br />v <br />9 'F <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algaes' <br />twv J <br />Influent: <br />Effluent: <br />Time In: <br />- <br />Time Out: <br />eeel B <br />v �, <br />nspeeted by: <br />EHD 36-017-18-08 SWIMMING POOL OIR <br />