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SAN JOAQUIN COUNTY <br /> r` EN v.RONMENTAL HEALTH DEPARTIv,cNT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www,sjgov.org/ehd <br /> 1LlFOAi� <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: City: ` Zip Code: Q <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: 020 <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on 7a11 <br /> Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter V <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention 7 r W �p <br /> E] Main Drain Cover (� <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> AJ.44-4 COW-U- <br /> 0 Fencing/Gates <br /> ❑ Decking&Coping l.Ct7?.I7��P� U �, <br /> E) Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT 9 <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ <br /> Pool/Deck Lighting `�� � � All_ <br /> 3eO4 -1;6x <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth MarkerslTiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch `- -, B 21 <br /> RESTR00MS 1.LCJeJr. <br /> ❑ Showers ) , a cnot, r b ' <br /> ❑ Toilet&Dressing TA_ a 1't <br /> ❑ Ventilation <br /> WATER QUALITY <br /> ❑ Chlorine o <br /> ❑ PH 4V "�' Oke—, <br /> ❑ Cyanuric Acid � o <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Sup y.5ion&Control a <br /> ❑ <br /> Ger <br /> Leral Sanitation <br /> ❑ A19V'V <br /> ; <br /> Influent: a <br /> Time In: Race ive y: 41hapected by: <br /> Effluent: Time Out: <br /> EHD 36-017-1"8 SWIMMING POOL OIR <br />