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PAp.IC!. SAN JOAQUIN COUNTY <br />N. Zi ENVIRONMENTAL HEALTH DEPARTMi,.+T <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />• cd(i cii"a�`P <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Date: ' 7-3 o <br />Address: <br />City: <br />Zip Code: S <br />Owner/Operator: <br />Telephon 241 2 g- E"" <br />Program Element: Pr gram R ord: U <br />Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspectio on or after: <br />Other: <br />RECIRCU�/CT(O�1 EQU'IBAiINT=' <br />The marked violations represent Health & Safety <br />Code Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION. <br />❑ Pool Shell <br />Q <br />_ <br />A. <br />Q <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <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 />WATER QUALITY <br />Chlorine _ <br />❑ pH <br />❑ Cyanuric Acid <br />-" <br />_- <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />Ll Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: Receivejj By: <br />Time Out: <br />Inspected by: <br />/n <br />EHD 38-01 7-18-08 SWIMMING POOL OIR <br />