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SAN JOAQUIN COUNTY <br />ENVi2ONMENTAL HEALTH DEPARTMhNT <br />600 East Main Street, Stockton, CA 95202-3029 <br />cq ; Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />�/FOR <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Date: — <br />Address: qLj'7,City: S Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: Program Record: Inspection Type: <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 he corrected as indicated: <br />❑ Filters <br />'1 �Ir LGAll- v;tM <br />of O <br />ElPumps <br />S <br />❑ Chlorinator <br />❑ Flowmeter <br />t /l <br />itJr- <br />11Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />SSC f Zv t1 <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />It Lp <br />ff V Q -d ��" <br />El Pool Shell <br />❑ Fencing/Gates <br />ICA111 i — <br />❑ Decking & Coping <br />❑ Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />0 S V V _ <br />El Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markersmics. <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />- - <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: <br />Received By: Ins cted by: <br />�,/ �i 74/,[ <br />Q(/ - lt� <br />t� " _ "v7 <br />Time Out: <br />EHD 36-0105-29-2007 <br />