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SAN,TOAQUIN COUNTY <br /> o. c <br /> ENS iRONMENTAL HEALTH DEPARTMENT <br /> ? <br /> a:: � <br /> N 304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> Hsi.0ov, <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: C Date: (� <br /> Address: City: zip Code: <br /> Owner/Operator: Telephone: 30qZ <br /> Program Element: Program Record: Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(( pm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> �/ ` V_ � 7 Cr�� ?0 Other: <br /> Cr <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safetv Code Violations and must be corrected as indicated: <br /> Pump Ile <br /> Chlorinator <br /> Flowmeter <br /> Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> Main Drain Cover v C r <br /> Equalizer Line Cover <br /> CONSTRUCTION <br /> Pool Shell <br /> Fencing/Gates <br /> Decking&Coping <br /> ❑ - < � <br /> Wade Pool-2 Main Drains ' <br /> SAFETY EQUIPMENT <br /> Rescue Pole - - - - - - - - <br /> Life Ring <br /> Safety Signs <br /> Lifeguard <br /> PooUDeck 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 /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: 15C/� <br /> Time In: r R ce d By: Inspected by: <br /> Effluent: lj Wr'° � � <br /> Time Out: <br /> EHD 36-01 5/26/05 Page of <br />