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SAN JOAQUIN COUNTY <br />--Rr. <br />EP-90NMENTAL HEALTH DEPART :NT <br />w r < <br />is 1868 mast Hazelton Avenue, Stockton, CA 952u5-6232 <br />u Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: j Date: i <br />Address: City: zip Code: 9 <br />Owner/Operator: Telephone: <br />Program Element: G Program Record: Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />i -e< -1 t;�7 asp <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetCode Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />- � 7Z <br />❑ Chlorinator <br />❑ Flowmeter <br />v 9i <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />�f <br />❑ Main Drain Cover <br />f G� <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />h G� <br />❑ Pool Shell <br />❑ Fencing/Gates <br />Glr a�m <br />❑ Decking & Coping <br />❑ Wade Pool — 2 Main Drains <br />S_AfETY EQUIPMENT. <br />L_ <br />59�' Rescue Poleh —,6, <br />��l ✓moi// <br />B'�Lp Ring <br />Safety Sign <br />/ <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />l.- <br />RESTROOMS - <br />/ <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />C C <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Su ervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: /� <br />Time In: / fip <br />Received By: <br />3. <br />I pect by: <br />oG <br />Time Out: <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page of� <br />