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a� SAN JOAQUIN COUNTY <br />Eh-.RONMENTAL HEALTH DEPARTI,.-NT <br />600 East Main Street, Stockton, CA 95202-3029 <br />�.. P.. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />OciFoae+ <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Date: d <br />Address: <br />City: <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: Program Record: <br />Inspection Type: <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 <br />Code Violations and must be corrected as indicated: <br />❑ Filters <br />1 <br />s <br />U <br />S �J r <br />El <br />❑ Chlorinator <br />❑ Flowmeter <br />. <br />'' <br />5 C <br />E]Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />' <br />CONSTRUCTION <br />Dhc. <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />CZ <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />` n <br />tit <br />S e <br />RESTROOMS <br />❑ Showers <br />❑ Toilet &Dressing <br />Dom' <br />s D x� <br />❑ Ventilation <br />jj WATER QUALITY _ <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />O• <br />❑ Clarity <br />[' Test Kits <br />rRA �— <br />MISCELLANEOUS <br />Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: Received By: <br />Time Out: <br />` <br />Inspected by: <br />/ <br />i <br />EHD 36-017-18-08 SWIMMING POOL OR Y <br />