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SAN JOAQUIN COUNTY <br /> .Z EN' ONMENTAL HEALTH DEPARTN" 1T <br /> y 1868 East Hazelton Avenue, Stockton, CA 9526,,-6232 <br /> .�' ":• <br /> � FORa Telephone: (209) 468-3420 Fax: (209) 4f>8 3877 Web:www.sjgov.org/ehd &�I <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: �� >�i i ^ 'v'V Date: <br /> Address: W!LV City: Zip Code: <br /> Owner/Operator: ` Telephone: <br /> Program Element: Program Record: Inspection Type: r'yt S Qn <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reeiins ction on or after: <br /> Other. <br /> RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps - - <br /> ❑ Chlorinator — i IAC'j I j <br /> Flowmeter j <br /> Gauges L <br /> PEI Skimmer&GuttersAAA Ct tAA <br /> eV r <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ElEqualizer Line Cover o ' <br /> CONSTRUCTION <br /> ❑ Pool Shell , <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping � ) n� <br /> El Wade Pool—2 Main Drains ln' l �" Cv t` <br /> SAFETY EQUIPMENT J <br /> �- <br /> ❑ Rescue Pole c <br /> ❑ Life Ring <br /> ❑ Safety Signs AA <br /> �. <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting , <br /> Az <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth MarkersfTiles <br /> ❑ First Aid Kits vuaje <br /> ❑ Emergency Shut-off Switchmin M <br /> 4 <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: In <br /> Time In: i Recei d By: I sp c d by: <br /> Effluent: Time Out: Rr,"It"51N <br /> EHD36-01 5-8-12 SWIMMING POOL OR Page—o <br />