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SAN JOAQUIN COUNTY <br /> EN\,...ONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)468-3877 Web:www.sigov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: .A- Date: 9-7— <br /> Address: S - City: Zip Code: �3 <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: 3fp Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: ©'rReinspection on or after: <br /> 7' (, GC " 3.0 30 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 iv <br /> ET Gauges <br /> 0' Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> [g' Main Drain Cover <br /> 0 Equalizer Line Cover <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> [Z' 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 ov <br /> ❑ Pool/Deck Lighting <br /> [� Ladders/Hand Rails <br /> Depth Markers/Tiles <br /> First Aid Kits <br /> Emergency Shut-off Switch <br /> ❑ Showers <br /> 0 Toilet&Dressing <br /> Er Ventilation <br /> WATER QUALIT <br /> Chlorine <br /> pH - <br /> [9�Cyanuric Acid <br /> C arity <br /> Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision &Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> �l <br /> Influent: /v P,S� <br /> r Timeln: Received By: I no c ed by: <br /> Effluent: J � ( t'✓ <br /> Time Out: <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page_of� <br />