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Pte, 5 SAN JOAQUIN COUNTY <br /> 2 � EN\ )NMENTAL HEALTH DEPARTN, T <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> s <br /> VTelephone:(209) 468-3420 Fax:(209)468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: (Q— t 5— ) <br /> Address: ( City: Zip Code: G1 �3 <br /> Owner/Operator: Telephone: <br /> Program Element: ��� Program Record: ?j 22.2 Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: t 0,3, Reinspection on or after: <br /> �S -4. IFC 2_(D L 3�fP� Other: J <br /> CC o- 1.0 <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&SafetCode Violations and must be corrected as indicated: <br /> ❑ Filters �� 5p, <br /> � o ._,,� <br /> ElChlorinator FAQ G � 52e r�Q 2 - Lj <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters C6-0 I�3 <br /> ❑ Back Flow Prevention _ <br /> ❑ Main Drain Cover t 1 C <br /> ❑ Equalizer Line Cover CONSTRUCTION <br /> Pool <br /> ❑ Pool Shell C)- <br /> ❑ Fencing/Gates 1 <br /> ❑ Decking&Coping <br /> E] Wade Pool-2 Main Drains .� 2 <br /> SAFETY EQUIPMENT ,-` -T1hC_ <br /> ., <br /> _❑ Rescue Pole l <br /> ❑ Life Ring cqi✓� -C-'j l <br /> ❑ Safety Signs C .L <br /> ElLifeguard <br /> ❑ Pool/Deck Lighting +A-ea . <br /> E] Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits Q \ <br /> ❑ Emergency Shut-off Switch ,\_ <br /> RESTROOMS 1�C. <br /> ❑ Showers <br /> ❑ Toilet& Dressing (� <br /> ❑ ventilation ` " V/ <br /> WATER QUALITY C C O • l.t <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision& Control <br /> ❑ General Sanitation <br /> ❑ Algae w <br /> Influent: 8 F-Q�t <br /> Time In: Q1 iC Received By: Inspected by: <br /> 7 J IL - r�V)'A(e <br /> Effluent: V Time Out: S <br /> 1`�,3N _4 ,� �-� H <br /> EHD 36-015-8-12 SWIMMING POOL 018 Page l of I <br />