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a .vr.. SAN JOAQUIN U%july. . <br />a� <br />EN`''iONMENTAL HEALTH DEPARTP NT <br />1868 L ..,t Hazelton Avenue, Stockton, CA 952_.,-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility:' <br />Date: <br />QQ'fo <br />Address: 30 <br />City: <br />- <br />Zip Code: <br />Ow r/Operator: <br />Telephone: <br />Program Element: <br />Program Record: <br />Inspection Type: <br />a <br />Flow Rate (gpm): <br />r <br />Chlori a ppm): <br />FC (00+PM <br />Cyanuric Acid (ppm): <br />11 <br />Temp: <br />Reinspection o5 or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations re resent Health & SafetyCode <br />Violations and must be correctedasindicated: <br />❑ Filters <br />C14-101';'1_ <br />❑ Pumps <br />11 <br />1 <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />t <br />t <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION`"- <br />❑ Pool Shell <br />❑ Fencmg/Gates <br />❑ Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <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 />❑ Emergency Shut-off Switch <br />- t y�-j �' <br />w C_ <br />.. 1 <br />W <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />n <br />O <br />E] Ventilation <br />_ <br />`WATER QUALITY. <br />H <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />- F MISCELLANEOUS <br />— b� <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />W <br />w <br />Influents <br />Effluent: <br />Time In: <br />R e qlp ed B <br />\ <br />In <br />petted 4y� <br />Time Out: <br />EHD 36-01 5-8-12 SWIMMING POOL OIR <br />U <br />/ // /Page of <br />