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IM„ <br />SAN JOAQUIN COUNTY <br />-� E, iRONMENTAL HEALTH DEPART neENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Date: (�V <br />Address: r City: Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: Program Record: Inspection Type: V&3 t} AN D <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Te: <br />mpther: <br />Reinspection on or after: <br />O <br />.RECIRCULATIONI_EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />a <br />[_1 Pumps <br />— <br />\� <br />❑ Chlorinator <br />❑ Flowmeter <br />0 r <br />ElGauges <br />El Skimmer & Gutters <br />E]Back Flow Prevention <br />a <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />"A,-N.iFC0NSTRUCIn0N a" <br />67 CJUtA._ <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />_ <br />❑ Wade Pool - 2 Main Drains <br />SAFETXnEQ W PMENT,WA, <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />%�Q�{�/ (�iJ►!t Lim _ <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />uZ K/c(r <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />`�/� 0 � ® !/L <br />WATER'QUALIT:Y :z`:: .i -:a_ <br />❑ Chlorine <br />(eti INw <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />- <br />❑ Test Kits <br />.?10'' ISOELLANEOUSM r-ni <br />. <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: V„ �aeSJ` 1. A.a <br />�6`)�-�C <br />Effluent <br />Time In: <br />eive2l BY: -,./ <br />q <br />L <br />Inspected by: <br />Time Out: <br />EHD 36-01 7.31-09 SWIMMING POOL OR <br />Page _L of I— <br />