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op4HIN. - SAN JOAQUIN COUNTY <br />z EN ,40NMENTAL. HEALTH DEPARTN,-. 4T <br />` 600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />4�I FO R� <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: ! r Date: b <br />Address: City: Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: Program Record: Inspection Type: <br />Flow Rate (gpm): pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violationare resent Health & Safety Code Violations and must be corrected as indicated: <br />Filters <br />❑ Pumps <br />ffo <br />a ,�_ 3 h <br />o lCQ <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />Ai1rt <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />4 <br />❑ Pool Shell <br />❑ Fencing/Gates <br />y lleiAr <br />❑ Decking & Coping <br />❑ Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />�7 <br />[� <br />El Rescue Pole <br />IiL ft/I <br />❑ Life Ring <br />❑ Safety Signs <br />ly <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />V^ Q !� <br />411do <br />❑ Depth Markersfriles;I10 <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />,r <br />R.ESTROOMS'. <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />_ <br />❑ Test Kits <br />MISCELLANEOUS <br />_ <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: <br />y O <br />Received By: Inspected by: <br />Time Out: <br />EHD 36-01 7-18-08 SWIMMING POOL OR <br />