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SAN JOAQUIN COUNTY <br /> & RONMENTAL HEALTH DEPART NT <br /> w <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> t <br /> Telephone: 209 468-3420 Fax: 209 464-0138 Web:www.s ov.or /ehd /„n/J I S wf <br /> P ( ) ( ) J9 9 (/t1YJ� 1� <br /> SWIMMING POOL OFFICIAL INSPECTION REPOPT <br /> Name of Facility: Date: <br /> Address: City. Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <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 " <br /> ❑ Pumps <br /> L) Chlorinator <br /> 1 <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention I / <br /> ❑ Main Drain Cove dhAAj4DYdd�i <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION n� q w <br /> ❑ Pool Shell U' <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2 Main Drains <br /> SAFETY EQUIPAdE. 1 Q <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs A. <br /> ❑ Lifeguard r1 <br /> ❑ <br /> Pool/Deck Lighting ,tqr <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergencv Shul-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 MA IIIIIA"i <br /> 5 Y <br /> E-1General Sanitation P r' <br /> ❑ Algae III 11W I W IV Will 1111110 <br /> Influent: <br /> Time In: o ived By: Inspe ted by: <br /> Effluent: Time Out: ' (�a � 3?v <br /> EHD 36-01 7-31-09 SWIMMING POOL OR G'�s Page J-of-4 <br />