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RgU,IN SAN JOAQUIN COUNTY <br />Er -30NMENTAL HEALTH DEPART NT <br />,. 1868 Last Hazelton Avenue, Stockton, CA 95205-6232 <br />* ;FORa Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Date: <br />Address: <br />City: <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: 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 />IRECIRCU LATI O N 1 EOU IPME NTA <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />P <br />❑ Gauges <br />��� - <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />�� ..G� <br />�.� <br />07 z <br />❑ Equalizer Line Cover <br />:,CONSTRUCTION. ... -mrz <br />ll <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />'..: SAFETY-EO:UI PMENT MA -i <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markerslriles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />_V—,9y ` RESTR90MS_ n:sTI"_' <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />1K AT ERFOUALITYAL44-1 <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑, Test Kits <br />MISCELLANEOUS A—WRIPWA <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: <br />Received By: � <br />ee <br />ed b <br />Time Out: <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Pagi25— 10 <br />