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apQ�lH SAN JOAQUIN COUNTY <br />ENvIr2ONMENTAL HEALTH DEPARTMENT <br />" ' $ 600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />• C4G/20R�`P <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Date: `7OZ1© <br />Address:y - ` Ciry: Zip Code: z© <br />Owner/Operator: c;— Teleph e2p,�, <br />Program Element: 3in % Program Reoord:a- [N/ Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />©d Cc: <br />Cyanuric Acid (ppm): <br />(btu <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 />E-1Pumps <br />❑ Chlorinator <br />/ <br />Q�^ �G <br />❑ Flowmeter <br />/ldlJ s o r <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <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 />— <br />-- <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 />❑ Ventilation <br />WATER QUALITY <br />❑; Chlorine <br />❑ pH — <br />❑ Cyanuric Acid <br />❑ Clarity <br />i <br />F-] Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />l ✓ <br />Effluent: Ct P5 j <br />Time In: a,' /`(� <br />Received By: <br />Inspected by: <br />Time Out: <br />EHD 36-017-18-08 SWIMMING POOL OIR <br />