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�.In. SAN .JOAQUIN COUNTY <br />ENVNMENTAL HEALTH DEPARTMI <br />1868 East Hazelton Avenue, Stockton, CA 95205-b232 <br />"4 ;Foaa' Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of —7z' -5e Ze=t: <br />Date: Z&412 <br />Address: <br />City: <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: <br />Program Record: <br />Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspection on or after: <br />Other: <br />.REC) „CI LAT_ 10N_EQd}];P*E N <br />T,[- <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />— <br />– <br />❑ Chlorinator <br />❑ Flowmeter <br />C <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />�5 <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />❑ Pool Shell <br />�y <br />/ <br />6z, –Z <br />Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool – 2 Main Drains <br />SAFETYr. EQUIPMENT '"n <br />- <br />❑ Rescue Pole <br />_ <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 />_ <br />i <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 />Effluent: <br />Time ln:Re <br />1' ed By: <br />pe,9A4d <br />by:� <br />Time Out: <br />EHD 36-015-8-12 SWIMMING POOL OIR Page of <br />