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SAN JOAQUIN COUNTY 1 <br /> N < <br /> B RONMENTAL HEALTH DEPARTr_ .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 /> � kbR <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: C / <br /> Address: / ! 1 rJ ` p,t1 , City: (��� Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> nWfpRCUL�ATION,EQUIPMENT� The marked violations represent Health&SafetCode Violations and must be corrected as indicated: <br /> L1 Filters <br /> co V Ap / ^a *t d/5•+ y (� S�u� 35�5r <br /> ❑ Pumps <br /> ❑ Chlorinator (/ vrtiau <br /> A 6 u <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention a r 6(ZI /Ir5P2 2;-�• �v �re <br /> ❑ Main Drain Cover �/ <br /> ❑ Equalizer Line Cover 4,XT -d Z N c,6, /A a : d +1• Ce vv�/ <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking &Coping <br /> ❑ Wade Pool-2 Main Drains <br /> S A F E TY.E Q U I P M E NT ' b� r <br /> ❑ Rescue Pole r r <br /> ElY& A Life Ring ate_ ��-C+• �� ]�h0�i •Ea t�� <br /> ❑ Safety Signs �(pdrQ y � ctiiQ �dZrlk4 <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markerslriles �y <br /> El First Aid Kits - r6R ✓to r/J� n r (Q al rU •` 4 D t J� f 5:. <br /> ❑ Emergency Shut-off Switch <br /> ElShowers gm'k4 <br /> ❑ Toilet& Dressing , <br /> ❑ ventilation <br /> J�10 RCF- <br /> ❑ Chlorine +; '� � - <br /> ❑ pH rt. - <br /> ❑ Cyanuric - \ <br /> ❑ Clar' S <br /> ❑ Test ak \ <br /> ❑ <br /> Supervision&Control V <br /> ❑ General Sanitation <br /> ❑ Algae <br /> b� <br /> Influent: t <br /> Time In: Race iv dy: cted by: <br /> Effluent: Time Out: .\ nspeY ', <br /> EHD 36-017-31-09 SWIMMING POOL OR Page • of� <br />