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oP4u�". SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> .. Y. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 4��FOR� Telephone: (209) 468-3420 Fax:,(209) 468-3877 Web:,www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: e(v1 r-- 1L(tt!� Date: S <br /> Address: ( 2ief b I G{.k" t•'7) City: Zip Code: <br /> Owner/Operator: `I,— Telephone: r? <br /> Program Element: GV Program Record: Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(p�m� Cyn �tAg (ppm): Temp: R sgectionorl or after: <br /> ,t J} c ��(C <br /> 0 Other: <br /> RECIRCiUE, ION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps _ <br /> ❑ Chlorinator VVI l,V—' <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters A ° if, (t , k �1 <br /> E] Back Flow Prevention – <br /> ❑ Main Drain Cover Y ' <br /> ❑ Equalizer Line Cover 1 a <br /> C aWS'TR U CTI O N p <br /> ❑ Pool Shell d G <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool–2 Main Drains <br /> 5����t�d,11 i3.M E N'I•., ��. <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 /> 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: ` <br /> !me In: , Receive y: Inspected by: <br /> Effluent: <br /> Time Out: <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page of <br />