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SAN JOAQUIN COUNTY <br />ENN IRONMENTAL HEALTH DEPARTMLNT <br />304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br />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: City: Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: Program Record: Inspection Type: <br />Flow Rate (gpm): <br />, <br />pH: Chlorine (ppm): Cyanuric Acid (ppm): <br />N ,•,. <br />Temp: Reinspection on or after: <br />Other: <br />CIRCULATIONRE EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />• Filters <br />• Pumps <br />• Chlorinator <br />• Flowmeter <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 />• Lifeguard <br />II Pool/Deck Lighting <br />NI 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 />II Cyanuric Acid <br />• Clarity <br />• Test Kits <br />MISCELLANEOUS <br />• Supervision & Control , I _ ' • General Sanitation <br />M Algae <br />, <br />Influent: ; / -..- <br />Time In: ' ..1 <br />Received By: Inspected b y : <br />Effluent: <br />Time Out: ' i 1 <br />EHD 36-01 5/26/05 Page I of