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OPq�!N C SAN JOAQUIN COUNTY <br /> N: ?< EN. .RONMENTAL HEALTH DEPARTN,..�NT <br /> } 600 East Main Street, Stockton, CA 95202-3029 <br /> �.. ; Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> 9��cOP� <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: n( <br /> Address: City: Zip Cade: <br /> Owner/Operator: Tel ph ne: <br /> Program Element: Program Record: p i <br /> Flow Rate(gpm): pH: 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 ^���a ti C <br /> ❑ Pumps �rMt <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> Gauges <br /> ❑ Skimmer&Gutters a <br /> ❑ Back Flow Prevention 0AA <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover 5(� .4-0 <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates � kZ, y7� 3 w +tit <br /> ❑ Decking&Coping <br /> n 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 a T� ftF!/u( <br /> ❑ Showers U <br /> ❑ Toilet&Dressing <br /> .r x <br /> ❑ Ventilation L <br /> WATER QUALITY -� Gbd s 3 <br /> ❑ Chlorine <br /> ❑ pH 5pac cakk.. .u�dtuxtP/v <br /> ❑ Cyanuric Acid �, U f pX <br /> ❑ Clarity a <br /> F-1 Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision &Control /w <br /> ❑ General Sanitation c3 GD <br /> ❑ Algae AA +tf�arrtrC O -}- <br /> Influent: " <br /> Time In: Received By: Inspected by: <br /> Effluent: <br /> Time Out: <br /> EHD 36-01 7-18-08 SWIMMING POOL OIR <br />