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,.xln.. SAN.JOAQUIN COUNTY <br />ENVIkONMENTAL HEALTH DEPARTMEiN f <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />F.: 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 />ap <br />Program Element: 2— Pro ram Record: Y� 0 7 (� O / f - Inspection Type: - ^ <br />Flpw Rite (gpml:� <br />6/.67..2- <br />pkC`�, <br />�• U <br />Ch� (ppm) .. /7 <br />l9/! _ /p° <br />Cyanuric Acid (p ): o <br />TS/3�f— /ODS <br />Temp: ©� • F <br />Reinspection on or after. <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />.a Aa—w•^pr <br />❑ Chlorinator <br />❑ Flowmeter <br />// _ ��' —fL <br />ca l!a o A�►7.D— <br />ElGauges <br />❑ Skimmer & Gutters <br />E]Back Flow Prevention <br />J „ <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />— CONSTRUCTION <br />❑ Pool Shell <br />_ <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pale <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 />❑ General Sanitation <br />❑ Algae <br />Influent: O <br />36 <br />Effluent: ^ <br />d— <br />Timeln: 1,14-6 /tet <br />Received By: <br />51_ ! e M. .. 7 , -- <br />IU/vvv t1,,,UVV rr"`---"'""" U� +A, <br />Ins ted by: <br />/j— <br />�' �� 9A•_. <br />Time Out: N"� <br />EHD 36-01 5-6-12 SWIMMING POOL OR a Page <br />