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PTIH:. SAN JOAQUIN COUNTY <br /> ENVL jNMENTAL HEALTH DEPARTME _ <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> °' !•.:, ° Telephone: (209) 468-3420 Fax: (209)468-3877 Web:www.sjgov.org/ehd <br /> FU <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: 1-17--12e-.v- i'7ZS' c <br /> Date: Z -7 / <br /> Address: f42f A) dCity: yyr, Zip Code: <br /> Owner/Operator R ( L -. ( Telephone: <br /> Program Element: f1l Program Record: 6 InspectionType: ✓A <br /> Flow Rat(gpm): pH: //� Chlorine(yprpr�):_C Cya uric Acid(ppm): Temp: Reinspection on or after. <br /> (,'/✓, I 0 ' IIc J'l Other: <br /> RECIRCULATION EQUIPMENT The marked violations re resent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters D V)D �//� DY►S VI a k d r <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> El 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 /> WATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH - <br /> ❑ Cyanuric Acid _ <br /> ❑ Clarity <br /> ❑ Test Kits -- <br /> MISCELLANEOUS <br /> ❑ Supervision & Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> �''� Time In: / gReeived By: Inspected <br /> by: <br /> Effluent: I v Time Out: <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page_of <br />