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oP44I ry. <br />SAN JOAQUIN COUNTY <br />r` ^� <br />EN\ fikONMENTAL HEALTH DEPARTM,IVT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Flow Rate (gpm): <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPOVTT <br />Name of Facility: Date: <br />WWlg- <br />Address: City: Zip Code: <br />Owner/Operator: <br />_PjnzTelephone: <br />Program Element: Program Record: U Inspection Type: 6 <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric 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 />! i x <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />9 ZXreil <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />GtlK <br />❑ Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole0( <br />,•j,Q, 60n <br />C] Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />C ' n <br />d� <br />ElPool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markerslriles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />I .Q('i0 Ah to -0 r <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />_ <br />0 <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />t <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />_ <br />MISCELLAN EO <br />$'& <br />E]SU ervlsio COnt I <br />❑ General Sanitation �' <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: <br />Receive <br />Insp cted by: <br />Time Out: <br />EHD 36-015-8-12 SWIMMING POOL OIR C./ // Page __�ofi— <br />