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uw SAN JOAQUIN COUNTY <br />a e v EI .RONMENTAL HEALTH DEPART :NT <br />600 East Main Street, Stockton, CA 95202-3029 <br />T Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT SPA - <br />Name of Facility: AP Date: , ID <br />Address: .Z c City: }- Zip Code: <br />Owner/Operator: O 9 Telephon :--A*T <br />Program Element: ( Program Record: 1 Inspection Type: D <br />Flow Rate (gpm): <br />95C)? <br />pH: (,� <br />r 1 <br />Chlorine (ppm): <br />T� r --c- <br />!}i0 G2 <br />Cyanuric Acid (ppm): <br />Z too <br />Temp: i D �o r <br />( T <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT - <br />The marked represent Health & Safety Code Violations and mustbe corrected as indicated : <br />[-I Filters <br />- - — <br />Pumps <br />L�qW3J /J.❑ <br />6nhe� LvKEl <br />fln <br />Chlorinator <br />❑ Flowmeter <br />30 _ O ev, <br />❑ Gauges <br />4f, -j.,,Ww p VV�iil '6dc(QQ <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />�Iti1/Lt�� <br />❑ Main Drain Cover <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 <br />Showers <br />Toilet & Dressing <br />Ventilatlon <br />WATER QUALITY <br />Chlorine <br />pH <br />-- <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: a I , <br />Effluent: % <br />[, ��/�Z <br />r + -C>ti Z✓ l (+ f <br />PX I <br />Time In: �l; 10 <br />Received By: <br />Inspected by: <br />AAF <br />Time Out:1�-P- <br />EHD 36-01 7-31-09 SWIMMING POOL OR Page i of I <br />