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PQ�;n SAN JOAQUIN COUNTY <br />EN\,.XONMENTAL HEALTH DEPARTN—AT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Date: <br />Address: V <br />ty: <br />Zip Code: <br />Owner/Operator. <br />Telephone: <br />Program Element: <br />Program Record: <br />Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: v <br />Reinsp <br />ion on or after. <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety <br />Code Violations and must be corrected as indicated: <br />❑ Filters <br />u/rc+•u1J <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />�D t7,�f7 <br />❑ Gauges <br />_ <br />J <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION _ <br />_ <br />/_ ;� <br />a _� �— <br />•> '(t <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />/� <br />r "`� •,©N <br />❑ Wade Pool – 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />1 <br />1 <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers riles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />Ej Test Kits <br />_ MISCELLANEOUS <br />r <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />eZA <br />' �W& <br />Time In: <br />R�e(ceiv d By <br />'" <br />Inspected by: <br />—03550b <br />Time Out: <br />EHD 36-017-31-09 SWIMMING POOL OIR Page—Lof <br />