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4fry, SAN <br />Er -IONMQ <br />1868 East Hazel <br />Telephone: (209) 468-34 C <br />p'Y <br />SWIMMING POOL <br />N COUNTY <br />I Av6nue, Stockton, <br />Fax. (209) 468-3877 <br />NT <br />952uo-6232 <br />P: VVWW.sjgov.org/ehd <br />FICIAL INSPECTION REPORT <br />Name of Facility: <br />Date: y <br />Address: <br />City: <br />Zip Code: <br />Owner/Operator: 4g2Telephone: <br />Program Element: /� Program Record: 0 <br />Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safet <br />Code Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />jf <br />v�2 <br />❑ Chlorinator <br />❑ Flowmeter <br />/ <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />i <br />- SAFETY ?"EoFl) IP..ME N T <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 />-- <br />/ <br />_ <br />❑ General Sanitation <br />❑ Algae <br />Influent <br />Effluent: <br />Time In: <br />Time Out: <br />Received By: <br />I s b <br />s <br />EHD 36-015-8-12 SWIMMING POOL OR <br />Pagep- oicpr- <br />