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PgUiN SAN JOAQUIN COUNTY <br /> EN\i,RONMENTAL HEALTH DEPARTMc-NT <br /> " a 600 East Main Street, Stockton, CA 95202-3029 <br /> .. Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> i vr'y(^1 <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT �•(((/���/ <br /> Name of Facility: Date: V/0 <br /> Address: City: Zip Code: 7-2-0 <br /> Owner/Operator: r r Teleph e `t _ <br /> Program Element: r Program Reco Inspection Type: _ <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> L/7pr_, C <br /> 7r `'1 V• L C L 30 Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health &Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters / D� ytZ ` AL Q r r Q r <br /> ❑ Pumps CC" �i� we c, <br /> ❑ Chlorinator <br /> ❑ Flowmeter L , <br /> E-) Gauges <br /> ❑ Skimmer&Gutters 0 0 <br /> ❑ Back Flow Prevention <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 /> WATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae rl n <br /> Influent: <br /> Recel`vveel�ddBy: <br /> :: � !/ Ins acted by: <br /> Effluent: l yn <br /> 1 � 1 Time Out: ,2� <br /> EHD 36-01 7-18-08 SWIMMING POOL OR <br />