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�• SAN JOAQUIN COUNTY <br />` _ •. <br />EN'.-..ONMENTAL HEALTH DEPARTI1r. .JT <br />600 East Main Street, Stockton, CA 95202-3029 <br />�' • Telephone: (209) 468-3420 Fax. (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Date: / // <br />Address: - ,v City: v �>y' Zip Code: G- <br />Owner/Operator. Telephone: <br />Program Element: Program Record: Inspection Type, jD <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspection on or after: <br />Other <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />oo <br />❑ Skimmer & —Gu <br />❑ Back Flow Prevention <br />nn J <br />Sia d e <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />-'.-- _CON,STRUCTION; <br />❑ Pool Shell <br />❑ Fencing/Gates <br />/ <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 />'..-. RES-T9OOMS - <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />er <br />WATER QUALITY -- <br />❑ Chlorine <br />❑ pH <br />, <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Su ervisio n & Control ` <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: <br />eceived By:nsp <br />teld}'by:yam: 7 <br />Time Out:Lt <br />EHO 36-017-31-09 SWIMMING POOL OR Page J of -L <br />