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ipSAN JOAQUIN COUNTY <br />Er 3ONMENTAL HEALTH DEPART 'NT <br />1868 I=dst Hazelton Avenue, Stockton, CA 952uo-6232 <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: <br />I City: Zip Code: <br />Owner/Operator: A & j Telephoner <br />Program Element: C Program Record: d - Inspection Type: <br />Flow Rate (gpm): <br />40 <br />t ` <br />pH: <br />-7. Cr' <br />,C�Cp rineuipm): <br />i v _ l L <br />CC,. <br />Cyanuric Acid (ppm): <br />120 <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EOUIPMENT <br />The marked violations represent Heafth & Safety Code Violations and must be corrected as indicated: <br />❑ Filters _ <br />d *b JI, 0 a <br />�•r W <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />tM ) /JQ lq,.ti <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />E] Main Drain Cover <br />❑ Equalizer Line Cover <br />" CONSTRUCTION <br />/ �t <br />❑ Pool Shell <br />❑ Fencing/Gates�� <br />❑ Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />� J A-41-' � LO✓ <br />❑ Rescue Pole _ <br />❑ Life Ring <br />�a1 <br />�' — %� w` • Va �7 �3 <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 />RE.STROOMS <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 />0 14P <br />Influent: <br />• l <br />!]. <br />Effluent: r i <br />Time In: <br />Rec rve By: <br />ted by: <br />q <br />hO(;lip •'�'J7j3 <br />Time Out: <br />EHD 36-01 5-8-12 SWIMMING POOL OR Page —�— of <br />