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SAN JOAQUIN COUNTY <br />i EI RONMENTAL HEALTH DEPARZ :NT <br />$ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />4�lcOR <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Date: g� <br />Address: City: - Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: <br />Program Record Z Inspection Type: VP' <br />Flow Rate (gpm): <br />pH: <br />tl L <br />ChIbfine (ppm): <br />l.- ` .�' <br />Cyanuric Acid (ppm): <br />��J� <br />Temp: <br />Reinsp tion on or after: <br />Other: <br />rAEOIRCUL:ATiON EOUtPMENT.?: <br />The marked violations represent Health & afety Code Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />�J <br />Chlorinator <br />Flowmeter <br />lye 're*V --4 <br />Lie— <br />Gaugese <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />vin, <br />SAFETY EOUIPMENT ' <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergencv 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 />_ <br />Influent: f5 <br />Effluent: <br />1�4y1� <br />Time In: <br />Re ived <br />In eete y: <br />Time Out: 10 <br />EHD 36-015-8-12 SWIMMING POOL OR y/ Z v f� ` tla PageIE oI <br />