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oPgu,h SAN JOAQUIN COUNTY <br /> ^" EN1r..-,,0NMENTAL HEALTH DEPARTM-4T <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)468-3877 Web:www.sigov.org/ehd <br /> \-0R <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: City: V10 CL_ Zip Cade: <br /> Owner]Operator: Telephone: <br /> Program Element: Program Record: Inspection Type` bz�_> <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reins ection on or after: <br /> Other. <br /> RECIRCULATION EQUIPMENT The marked violations represent Health &Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter _ <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover A �jQ1 t + <br /> CONSTRUCTION <br /> ❑ Pool Shell aA <br /> ❑ FencinglGates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2 Main Drains <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs oa <br /> ❑ Lifeguard 7k cy <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth MarkerslTiles <br /> ❑ First Aid Kits , <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> ❑ Showers <br /> ❑ Toilet&Dressing r <br /> ❑ Ventilation <br /> WATER QUALITY Q 1f`� <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuriq,,Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ <br /> Supervision& Control <br /> ❑ General Sanitation <br /> ❑ Algae 7 <br /> Influent: �. <br /> r <br /> Time In: f r Received B ' , ted by: <br /> 1V <br /> Effluent: Time Out:1 j l 0334-f- <br /> EHD 36-01 5-8-12 SWIMMING POOL OR Page—4 of <br />