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„. SAN JOAQUIN COUNTY <br /> F. EN\„rtONMENTAL HEALTH DEPARTN,—IVT <br /> L: —cr• `ry <br /> In' < <br /> '• 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3877 Web:www.sjgov.org/ehd <br /> P ✓T Q- <br /> SWIMMING POOL OFFICIAL INSPECTION REPOR <br /> Name of Facility: Date: <br /> Address: ,j I 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: Rein ecion on or after: <br /> Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health &Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters ` <br /> ❑ Pumps � — <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges n <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates Q <br /> ❑ Decking&Coping /•,� <br /> ❑ Wade Pool—2 Main Drains <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs (fLGl1� <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tilesr n <br /> El First Aid Kits v <br /> ❑ Emergency Shut-off Switch 3q 3't <br /> RESTROOMS <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> WATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits AV1 i <br /> MISCELLANEOUS L'I AV <br /> I VIVOTIV <br /> ❑ Supervision & Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Time In: a ed ey—yo <br /> Effluent: <br /> Time Out: 3Zj <br /> EHD 36-01 5-8-12 SWIMMING POOL OR Page of <br />