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pPgU.IN C SAN JOAQUIN COUNTY <br />EW,..iCNMENTAL HEALTH DEPARTM—.JT <br />" 600 East Main Street, Stockton, CA 95202-3029 <br />�.. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Date: <br />oc- <br />Address: <br />City: L<C <br />Zip Code: <br />Owner/Operator: <br />Telepho <br />Program Element: Program Record: <br />Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />7, <br />Chlorine (ppm):Ai- <br />'9 Fc <br />Q cc <br />Cyanuric Acid (ppm): <br />O <br />Temp: <br />Reinspec on on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety <br />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 />♦ <br />� Ph <br />i <br />E) Main Drain Cover <br />❑ Equalizer Line Cover <br />d <br />r <br />ox- 41ao <br />CONSTRUCTION <br />-- <br />- <br />- <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Copi <br />❑ Wade Pool - 2 Main <br />SAFETY EQUIPMENT <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 />_ <br />Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: [ a� <br />Received By: <br />-/ <br />Inspected by: <br />Time Out:r7 ' <br />EHD 36-017-18-08 SWIMMING POOL OR <br />