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gln.. SAN JOAQUIN COUNTY <br />EW ONMENTAL HEALTH DEPARTA JT <br />w. `• 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />;.oaf Telephone: (209) 468-3420 Fax: (209) 46873877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility:Date: <br />Address: City: Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: Program Record: Inspection Type: e/Itp <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Rei pection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations re re Ith&Safet Code Violations and must be corrected as indicated: <br />El Filters <br />�a�l w' S <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />0s ,l <br />�Y// <br />E] Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />fpAA04 tf=e� <br />❑ Wade Pool -2 Main Drains <br />❑ Rescue Pole <br />!/v6t Lq 44t�� Ala 7M <br />C]Life Ring <br />❑ Safety Signs <br />- <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />- RESTROOMS' - <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />3 <br />WATERQUALITY <br />❑ Chlorine <br />- <br />A1tQ Mr <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />ov <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />Vy�,•� `� <br />vh'+A& L w S�QS <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />q`` <br />G�zaM.. <br />Time In:Re/ <br />c�a i�ed B <br />`�^� <br />Jq_s p cted by: <br />Gwe 7�L� <br />Time Out: ; S <br />EHD 36-01 5-8-12 SWIMMING POOL OIR/ <br />Page If <br />