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„Qgln SAN JOAQUIN COUNTY <br />EN\II,.ONMENTAL HEALTH DEPARTM,_ .T <br />'• 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />”' •.. Telephone: (209) 468-3420 Fax. (209) 468-3877 Web: www.sjgov.org/ehd <br />F <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Date: <br />Address: <br />City: <br />Zip Code: (� <br />Owner/Operator: <br />Telephone: <br />Program Element: Program Record: - <br />Inspection Type: d <br />Flow Rate (gpm): <br />pH. <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: V <br />Reins ection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety <br />Code Violations and must be corrected as indicated: <br />❑ Filters <br />'�v <br />ElPumps <br />4ef.w. <br />❑ Chlorinator <br />❑ Flowmeter <br />a&t_ <br />❑ Gauges <br />Ma4_tt <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />rt <br />❑ Main Drain Cover <br />n "V <br />` <br />a <br />El Equalizer Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />V G <br />(� <br />_ SAFETY EQUIPMENT <br />❑ Rescue Pole <br />{` ' <br />Utz& <br />E] Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />- n L <br />3 r( <br />E]Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />U <br />❑ Depth MarkerslTiles <br />U^^ '' <br />Ak co L&C/d <br />El First Aid Kits <br />❑ Emergency Shut-off Switch <br />f IQ <br />W0c,� <br />-RES-T <br />✓'t. <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUA <br />❑ Chlorine <br />❑ pH <br />110 <br />i <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />---$MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent <br />Time In: D S' I R d y <br />Time Out: \ O iLT <br />Mnsped by: <br />-LA <br />--0334 <br />EHO 36-015-8-12 SWIMMING POOL OIR U Page 4 of <br />