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SAN JOAQUIN COUNTY <br /> AONMENTAL HEALTH DEPART, AT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <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: L , City: Zip Code: <br /> Owner/Operator: r Mq;Vfj��Lr_eTelephone: 1�6 3- <br /> Program Element: �� i Program Record: `3 ! Inspection Type: <br /> Flow Rate(gpm): pH: rrChlo(�rriJine(ppm): Cyanuric <br /> Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Sr q V `Y7 �, 0Other: <br /> C L� <br /> RECIRCULATION EQUIPMENT The marked violations represent Health& Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters / 1 /fit <br /> El PUMPS C A �2 �L-' (/ <br /> Chlorinator jrr <br /> ❑ Flowmeter L J:&_I <br /> ❑ Gauges zeko <br /> ❑ Skimmer&Gutters ry_jq'ti r Mom r <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover s o <br /> ❑ Equalizer Line Cover f �' <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gateslr/_CfNa <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2 Main Drains <br /> SAFETY EOUIPLIENT <br /> ❑ Rescue Pole C f <br /> Life Ring ✓ <br /> Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits v f <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> ❑ Showers r <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> WATER QUALITY ' ��C�^C <br /> Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity V1 �1 r <br /> ❑ Test Kits - I La UJ 04 r-Qvt r 0j r t r 1� S I <br /> MISCELLANEOUS I �} <br /> 61A R-A l/` B <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae PC <br /> � 6 <br /> L� W� <br /> Influent:( 6 <br /> IV f�J Time In: 00 1 Rece' a By: s ted by: <br /> Effluent: � / <br /> Time Out: J <br /> EHD 36-01 5 8-12 SWIMMING POOL OIR j er - V Page_ f <br />