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„. SAN JOAQUIN COUNTY <br />.., EN\,..:ONMENTAL HEALTH DEPARTN JT <br />600 East Main Street, Stockton, CA 95202-3029 <br />ko- Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Date: <br />Address: City: Zip Code: <br />Owner/Operator. Telepho ) _ 6k I) <br />Program Element: „ / Program Record: a- Inspection Type: <br />Flow Rate (gpm): <br />pH. <br />Chlorine (ppm): <br />Cy uric Acid (ppm): <br />Temp: <br />Reinspection on or after: <br />Other: <br />`RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />/ <br />jhn <br />❑ Pumps <br />11t u m � �✓� <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />/ <br />Q/ <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />.. ,.._: CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates{ <br />r <br />❑ Decking & Coping <br />❑ Wade Pool — 2 Main Drains <br />❑ Rescue Pole <br />i <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 />❑ Showers <br />❑ Toile Ing <br />❑ Ventl <br />M❑ Chlorin <br />❑ pH <br />❑ CyanuricALicr,, IV <br />❑ Clarity <br />❑ Test Kits <br />❑ Supervision & Co of <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent:11 <br />Time In: <br />Reca.lved By: 1AmLNA <br />A <br />Inspect d by: <br />7.�1/SrG <br />Time Out:14 <br />EHD 36-01 7-31-09 SWIMMING POOL OIR Page 4of <br />