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SAN JOAQUIN COUNTY <br /> EI RONMENTAL HEALTH DEPART -NT <br /> 600 East Main Street, Stockton, CA 95202-:;029 <br /> Telephone. (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: 44 <br /> City: Zip Code: <br /> Owner/Operator: C d4 Telephone: <br /> Program Element: Program Record: Inspection Type: B ASIOZ6 <br /> Flow Rate(gpm): p Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> RECIRCULATION EQUIPMENT,: The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters t - <br /> ❑ Pumps <br /> ❑ Chlorinator Q <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover CoUtq- t4.4_4 n aWA <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains 0 Zb <br /> SAFETY EQUIPMENT' <br /> ❑ Rescue Pole q <br /> ❑ Life Ring /0 _ a <br /> ❑ Safety Signs a <br /> ❑ Lifeguard C — �✓ <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> pn a <br /> ❑ First Aid Kits 1- <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS- <br /> ❑ Showers <br /> ❑ Toilet& Dressing <br /> ❑ Ventilation <br /> WATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH <br /> Ak— <br /> F1 Cyanuric Acid A IL apt <br /> ❑ Clarity inkilillil <br /> ❑ Test Kits nil M1 11 <br /> ❑ Supervision&C r <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Time In: Recei ed By. Inspected by: <br /> Effluent: I f/ e� <br /> Time Out: ti <br /> EHD 36-017-31-09 SWIMMING POOL OIR Page_�_of 1 <br />