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aero. SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTi.._NT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �;.. ..N Telephone:(209) 468-3420 Far:(209) 468-3877 Web:www.sjgc)v.org/ehd rovw <br /> FOP <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: '� y, �u Date: V -4M/ <br /> Address: City: Zip Code: <br /> Owner/Operator: a �L Telephone: <br /> Program Eleme &ji Pro am Record: NEEMMI .3 G�-(p'� Inspection Type; <br /> LP <br /> Flow Rate(gpm): Chlonne(ppm): Cy nuric Acid(ppm): Temp: Reinspection 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 f a a1v <br /> El Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention G- •/� 0)94A`\A`\ <br /> E] Main Drain Cover �(•G <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ 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 <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS !1- - <br /> ❑ Showers <br /> ❑ Toilet& Dressing <br /> ❑ Ventilation <br /> `'.WATER QUALITY <br /> ❑ Chlorine _ <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Time In: '� Rewed,By� In petted by: <br /> Effluent: Time Out: <br /> EHD 36-015-8-12 SWIMMING POOL OR 9- ' 15 Page of <br />