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Op44l.N„ <br /> SAN JOAQUIN COUNTY <br /> - EN- IONMENTAL HEALTH DEPARTS NT <br /> N: [ <br /> '• 1868 Fait Hazelton Avenue, Stockton, CA 952u,)-6232 <br /> C'Q(jF�' iNP Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT/ �� <br /> Name of Facility: Date: <br /> Address: City: Zip Code: Gfs f�(� <br /> Owner/Operator: Telephone: 9!�; ' 1 <br /> Program Element: SteProgram Record: (0� Inspection Type: <br /> Flow Rate(gpm . pH: Chlorinnee(ppm): G Cyanuric Acid(ppm): Temp: c Reinspection on or after: <br /> l� -r Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters / <br /> ❑ Pumps f t <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges q �- <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover .�$ /,� i q� �� <br /> CONSTRUCTION—( <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping - -- - <br /> ❑ Wade Pool-2 Main Drains <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 /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation _ <br /> ❑ Algae <br /> Influent: <br /> rJ Time In: 'O • �I� Re eilveld By: sppe ted b <br /> Effluent: L` / ( ` u-`C1Z! I <br /> I l Time Out: /J/I/w/ v/ D, `1 <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR V Page of <br />