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P.vin., SAN JOAQUIN COUNTY <br />a Er _30NMENTAL HEALTH DEPART' `VT <br />1868 tart Hazelton Avenue, Stockton, CA 952ur6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Date: <br />Address:CiTy: Zip Code: <br />Owner/Operator: — Telephone: <br />Program Element: / Program Record: 0 0 Inspection Type: <br />Flow R,atee((gvpm): pH: p- <br />Tp <br />Chlorine (ppm): <br />1�y <br />Cyanuric Acid (ppm): <br />�Q <br />Temp: <br />Reinspection on or after: <br />Other: <br />:IRECIRCUILATIOIN EQUIPMENT -r. <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Finers <br />❑ Pumps <br />C <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ auges <br />Skimmer & Gutters <br />❑ Back Flow Prevention <br />/ <br />❑ Main Drain Cover <br />G <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />P <br />❑ Pool Shell <br />❑ Fencing/Gates <br />_ ❑ Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />Ode <br />SAFETY. EQUIPMENT <br />❑� Rescue Pole <br />y�jLife Ring ,t <br />Safety Signs <br />❑ Ifeguard <br />/ <br />Pool/Dec ighting <br />❑ Ladders/Han als <br />❑ Depth Markers/Tiles <br />en7i <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />Chlorine p <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS "' <br />❑ Supervision & Control <br />! cr-79 <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: S/ <br />Time In: ��' _ <br />Re eived By: <br />I pecte y: <br />-�-•+ �'Hy <br />Time Out: � •/`S <br />U <br />EHD 36.015-e-72 SWIMMING POOL OIR P6 <br />