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P.4Ia.. SAN JOAOUIN COUNTY <br />ENS JNMENTAL HEALTH DEPARTW, T <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sigov.org/ehd <br />$W,,MMING-POOL OFFICIAL INSPECTION REPOR <br />Name of Facility: <br />Date: <br />Address: <br />City: <br />- <br />Zip Code:aoq <br />Owner/Operator: <br />Telephone: <br />Program Element: 2 Program Record: dr539 <br />Inspection Type: <br />Flow Rate (gpm): <br />I5 <br />pH: <br />% <br />f <br />}Chlorine (ppm): <br />` 1 hl , PC— <br />. t) Cc. <br />Cyanuric Acid (ppm): <br />�•�, <br />go <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety <br />Code Violations and must be corrected as in 'cated: <br />❑ Filters <br />r ^r <br />1 <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />L <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />i <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />` <br />n <br />❑ Wade Pool — 2 Main Drains <br />D <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />(N <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 />❑ General Sanitation <br />❑ Algae <br />u <br />q/ <br />Influent: l `) _ r S 1 <br />/� TS', <br />Effluent 15 6 1 <br />� <br />D;; <br />Rece'ved By. <br />Z6 <br />Insp�cted by: <br />_ � 6 334 <br />Time Out: ( , to <br />EHD 36-015-8-12 SWIMMING POOL OIR Page of <br />