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SAN JOAQUIN COUNTY <br /> Er RONMENTAL HEALTH DEPARTi AT <br /> • 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> " Telephone:(209)468-3420 Fax: (209)468-3877 Web:www.sigov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: jezDate: <br /> Address: city: ,J Zip Code: <br /> Owner/Operator: elephone: <br /> Program Element: Program Record: Inspection Type: } (J <br /> Flow Rate(gpm): pH. Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters © ,kl a : <br /> ❑ Pumps -Lta If <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention /4 <br /> i (� <br /> E] Main Drain Cover <br /> 444t) K)o <br /> ❑ Equalizer Line Cover j41 ``A A ti-� _ r <br /> ;3CONSTRUCTlo N— _ r <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping / <br /> E] Wade Pool—2 Main Drains k5�d.'� d � <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs ! n <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting Y& PQ .4* <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits DK te <br /> ❑ Emergency Shut-off Switch <br /> ❑ Show <br /> ❑ Toil ageing 11L <br /> ❑ v <br /> ❑ Chlorine <br /> ❑ pHit <br /> ❑ Cyanuric Acid ! <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS l <br /> ❑ Supervision &Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Time In: RecAv,4cl Insp ted by: <br /> Effluent: hh y <br /> Time Out: <br /> EHD 36-01 5-8-12 SWIMMING POOL OR Page of 1 <br />