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SAN JOAQUIN COUNTY <br /> E. PONMENTAL HEALTH DEPAR'_ =NT <br /> <I <br /> cast ast Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> <<k OPi <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: �� A Date: <br /> Address: City: Zip Code: <br /> Owner/Operator: L Telephone: <br /> Program Element: Program Record: a Inspection Type:,�lai� <br /> Flow Rate(gpm): pH: Chlorine I LIP <br /> (p m): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> X" V Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health &Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> OVV <br /> ❑ Pumps <br /> ❑ Chlorinator � <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> Ll <br /> ❑ Skimmer&Gutters , --- <br /> ❑ Back Flow Prevention � <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover yyL b1 C INQ a�W' BUJ o 2 <br /> CONSTRUCTION <br /> ❑ Pool Shell - - �1 � _.. „�l1 •._0._, !�`� <br /> ❑ Fencing/Gates —_ Ok &N bU n 670 aOdoa /1,�lnl �- 0-►�. , <br /> ❑ Decking&Coping qj <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT - <br /> ❑ Rescue Pole IL <br /> ❑ Life Ring 1 <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: �0 <br /> Time In: I Received By: pecIfecJ, by: <br /> Effluent: Time Out: <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page of <br />