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oPg�.IN SAN JOAQUIN COUNTY <br /> 2` ENV; NMENTAL HEALTH DEPARTME <br /> ar ,� <br /> Y. 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> � FOR <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: 7 S- <br /> Address: ' s City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: 2 Program Record: 50 a6 6 LZ 3 66 60& Inspection Type: <br /> Flow Rate(gpm): f p�: p C Iorine(ppm): Cyanuric Acid(p�m): Temp: © - R inspection on or after: <br /> �/ `!+0 Other: <br /> ?. 7. . f� o D <br /> RECIR'CU� ATONE`QUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges 42 <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> ❑ Pool Shell �0 <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2 Main Drains <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 /> ❑ Showers <br /> ❑ Toilet& Dressing <br /> ❑ Ventilation <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> ❑ Supervision& Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Time In: R Ived By: Ins a ted y: <br /> Effluent: Time Out: �, UI� <br /> EHD 36-01 7-31-09 SWIMMING POOL OIR Page_of <br />