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PQg, SAN JOAQUIN COUNTY <br /> ENVIrLONMENTAL HEALTH DEPARTN._AT <br /> b I i <br /> '• 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> "'•f... Telephone:(209)468-3420 Fax: (209)468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPO T <br /> Name of Facility: <br /> Date: & <br /> Address: wnb 6M7"- <br /> City: Zip Code: <br /> Owner/Operator: elephone: S/ <br /> Program Element: 11 Program Record: 3 6a,(}12) 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 (a a w� <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Preventiony / <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/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 /> RESTROOMS ' <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> ❑ <br /> Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae I S <br /> Influent: <br /> Time In: r Received By: 4nspected by: <br /> Effluent: Time Out: <br /> EHD 36-015-8-12 SWIMMING POOL OIR Page j—of <br />