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SAN JOAQUIN COUNTY <br /> ENvIRONMENTAL HEALTH DEPARTNinNT <br /> N: < <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �.. Telephone: (209)468-3420 Far: (209)464-0138 Web: www.sjgov.org/ehd <br /> 4��FORN <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: O <br /> Address: city: Zip Code: <br /> Owner/Operator: Telephone: �a- <br /> Program Element: / Program Record: Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Rein4oection on or after: <br /> 7 2 Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pum s <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges <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 /> ❑ 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 /> ❑ <br /> Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> w <br /> Influent:(��L/1 n <br /> (' Time In: % 55 Received <br /> By: Inspected by: <br /> Effluent: <br /> P � I Time Out• '— <br /> EHD 36-0105-29-2007 Page of <br />