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�I SAN UOAQUIN COUNTY <br />VIRONMENTAL HEALTH DEPA MENT <br />.: <br />18b8 East Hazelton Avenue, Stockton, CA bo205-6232 <br />4�.F.OR� Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Date: <br />Address: I Tj I tAg4City: Zip Code: <br />Owner/Operator: Telephone: <br />Program Element:] /a. Progra Record: Inspection Type: /' <br />Flow Rate (gpm): <br />pH: Q t4 <br />C- 7 . q <br />Chlorine (ppm): <br />� ' <br />C aanVric cid (ppm): <br />/" �� <br />Temp: <br />Reinspection on or after: <br />other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safet <br />❑❑ Plutersmps <br />pCodeViolationsandmustbecorrectedasindicated: <br />rl)drr .O, / CO GJ %. - T o , <br />o1 MnuJ MA 7 d <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />7 • 0 <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />An <br />SAFETY EQUIPMENT <br />fmloA r <br />❑ Rescue Pole _ _ _ <br />❑ Life Ring <br />down- <br />❑ Safety Signs <br />❑ Lifeguard <br />0 <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />J <br />❑ Depth MarkersiTiles <br />❑ First Aid Kits <br />❑ Emergencv Shut-off Switch <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />'MISC'ELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />Algae <br />E]Q <br />�A1 `" <br />{� lie ¢ � iAV-f V` (`A"L, <br />Influent: <br />�l <br />Effluent: . 1 <br />Ykc VvLU_Ok_ t5foC <br />Time In:O' <br />Receiv B <br />Inspected by: <br />Time Out: <br />EHD 36-015-8-12 SWIMMING POOL OIR ^ Page <br />