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a <br /> P.vin. SAN JOAQUIN COUNTY <br /> ENV )NMENTAL HEALTH DEPARTM• <br /> 1868 East Hazelton Avenue, Stockton, CA 9520b-.232 <br /> SFO <br /> Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: — Sin 1 L Date: �0—Z"3__I <br /> Address: \ ' . City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: 22z Inspection Type: Po ` F <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reins ection on or after: <br /> Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&SafetyCode Violations and must be corrected as indicated: <br /> ❑ Filters S S C L o ; C 0 )`P <br /> ❑ Pumps <br /> ❑ Chlorinator — <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters OIL A0 Q <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover _ <br /> ❑ Equalizer Line Cover S <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2 Main Drains <br /> SAFETY EQUIPMENT �� f C _ �_• I I <br /> ❑ Rescue Pole n <br /> ❑ Life Ring , <br /> ❑ Safety Signs \ � � <br /> ❑ Lifeguard <br /> ❑ PooUDeck Lighting }� ) <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth MarkersMles <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: <br /> Time In: Received By: Inspected by: <br /> Effluent: L�� ``A(PS <br /> Time Out:1Q' — 3 <br /> EHD 36-015-6-12 SWIMMING POOL OIR Page 1 of� <br />