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apgH!N SAN .JOAQUIN COUNTY <br />p` EN.,r2ONMENTAL HEALTH DEPARTK._NT <br />600 East Main Street, Stockton, CA 95202-3029 <br />�. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />a�,r oaN <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility:40 <br />Date: <br />Plzej /a <br />Address: 3 <br />City: <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: Not/ Program Record: a ©83 °I <br />V <br />Inspection Type: <br />/t}I$ /O,ztj <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 />�w j6e4V , �Zt ` <br />r"v <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />° <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION` <br />�— <br />❑ Pool Shell <br />E]Fencing/Gates <br />❑ Decking & Coping <br />' r <br />~' <br />❑ Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />(_j Rescue Pole.C,I'V <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />V�e <br />Ah /VX <br />0 <br />E]// 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 />C Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: Received B Inspected by: <br />Time Out: ----�-�� <br />EHD 36-017-18-08 SWIMMING POOL OIR <br />