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ip <br />SAN JOAQUIN COUNTY <br />EN) )NMENTAL HEALTH DEPARTIV T <br />1868 Eaar Hazelton Avenue, Stockton, CA 9520,3-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: 1 Date: --7- ' <br />Address: City: - Zip Code: q Z <br />Owner/Operator: 1-+.) e1 I Telephone: (a A2 - 51-4•Q Cc ' <br />Program Element: 3 Program Record:' j 1o'O y -6 S Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />2.4i <br />c-�- 0.2 <br />Cyanuric Acid (ppm): <br />�� <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetCode Violations and must be corrected as indicated: <br />❑ Filters <br />Tl t Q i <br />❑ Pumps <br />rlz��, 2 �- <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />Z c <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />_ <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />Lo -r- - <br />❑ Pool Shell <br />_ _ <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT. <br />\' <br />❑ Rescue Pole <br />❑ Life Ring <br />2 <br />❑ Safety Signs <br />e <br />❑ Lifeguard <br />S \ cr <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />►\ <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 />Q e S <br />MISCELLANEOUS, <br />❑ Supervision & Control <br />_ <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: rl--tt <br />Time In: co , <br />Re of ed . y <br />nspected by: <br />Time Out: to,k- <br />EHD 36-01 5-8-12 SWIMMING POOL OR v f Page — of <br />