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q� N SAN JOAQUIN COUNTY <br /> EN' 'ONMENTAL HEALTH DEPARTII" IT <br /> ".Y '• 1868 Ea6t Hazelton Avenue, Stockton, CA 9520]-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> � FOR <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: rDate: D <br /> f <br /> Address: P �� City: � ; Zip Code: �- <br /> Owner/Operator: t,�,t n��; Telephone: <br /> Program Element: -_ 2_ Program Record: 0 , Inspection Type: PIC)j/? ?*-< <br /> Flow Rate(gpm): pH: orine(ppm): / Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Chl <br /> 7' ! C) K C,C Other: <br /> RECJCi:�110N_EL�UtPU1EN7: The marked/violations represent Health&SafetyCode Violations and must be corrected as indicated: <br /> El Filters _ �(V1_ L d -e V i S <br /> ❑ Pumps / <br /> ❑ Chlorinator 1-eve I Qn1c� vr�G�I r Vl <br /> ❑ Flowmeter r d • ^ ` <br /> ❑ Gauges �J <br /> ❑ Skimmer&Gutters I /A <br /> El Back Flow Prevention C t�-CL Ci , S4t.-,C) k t / <br /> El Main Drain Cover In.S�_ Cif�, i <br /> ❑ Equalizer Line Cover �� {� �� Q p r <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 /> Time In: R cella By: Inspected by: <br /> Effluent: <br /> Time Out: � ;�� � �1,��'(NC� ��►—� <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page_of <br />