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SAN .JOAQUIN COUNTY <br /> 'ION HEALTH DEPARTP " NT <br /> /N ' <br /> I\\� 1868--dCA 95 _- 6232 <br /> st Hazelton Avenue, Stockton, � <br /> \c. P• <br /> q� kd'nNTelephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/e,H id <br /> S,,� dVIMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: W i Date: <br /> Address: V City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type:' 4wo ZZ <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinsoection on or after: <br /> Other: <br /> RECIRCULATION 'EQUIPMENTThe marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters f <br /> ❑ Pumps <br /> 0 <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 Al <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring , <br /> ❑ Safety Signs <br /> [:1 Lifeguard s <br /> ❑ Pool/Deck Lighting CA &MiA <br /> ❑ Ladders/Hand Rails V <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits Q <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS 41,AAA <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: <br /> Timeln: I Rece' d B Ipe ed by: <br /> Effluent: Time Out: ' s` / <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page of <br />