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SAN JOAQUIN COUNTY��o <br />r` EN' 'ONMENTAL HEALTH DEPARTP IT <br />.� 1868 East Hazelton Avenue, Stockton, CA 95200-6232 <br />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: City: Zip Code: <br />Owner/Operator: i Telephone: <br />Program Element: Program Record: ,<f,2Inspection Type: <br />Flow Rate (gpm): Lp: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />ct�70-Ta O vj'a� <br />Temp: Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetCode Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />�r%F <br />❑ hlorinator <br />Flowmeter <br />❑ Gauges <br />Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />C� <br />❑ Equalizer Line Cover <br />CONSTRUCTIONS <br />Pool Shell <br />_❑ <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />/ <br />tel/ <br />Rescue Pole C0:7�/ <br />Life Ring <br />Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />�P <br />❑ Depth Markerslriles <br />❑ ' First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />L/ <br />❑ Ventilation <br />WATER:QUALITYof <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />- —� <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: _, O. <br />R ived By: <br />I I?,p5—d by:: <br />'JL%J <br />Time Out�� d <br />EHD 36-015-8-12 SWIMMING POOL OIR Page _of J <br />r� <br />