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a�+nom SAN JOAQUIN COUNTY <br /> z ENVI. .JNMENTAL HEALTH DEPARTM, f <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> 4,FoaN 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: Ljil City: VL Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: 3 Inspection Type: ulkZ1 <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> The marked violations represent Health &SafetyJCode Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps �, <br /> El Chlorinator �� Q� �Z/ AhK <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters �/ �( .}— Lal LJ <br /> ❑ Back Flow Prevention _ <br /> ❑ Main Drain Cover J <br /> ❑ Equalizer Line Cover <br /> ❑ Pool Shell C `� <br /> ❑ Fencing/Gates <br /> ❑ Decking &Coping <br /> ❑ Wade Pool—2 Main Drains <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 /> ❑ Showers <br /> ❑ Toilet& Dressing <br /> ❑ Ventilation <br /> ❑ Chlorine <br /> ❑ pH - _ .... _... <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Time In: Received By: I spected by: <br /> Effluent: <br /> Time Out: lZ41 <br /> EHD 36-01 7-31-09 SWIMMING POOL OIR l Page' of <br />