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�asm SAN JOAQUIN COUNTY <br />EN\ -)NMENTAL HEALTH DEPARTN 'T <br />1868 Ease Hazelton Avenue, Stockton, CA 9520;,-6232 <br />k Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPOST <br />Name of Facility: Date: r,6 <br />Address: J City:ZM_rD_Zip Code: Q <br />Owner/Operator: W Telephone: Z <br />Program Element: Program ecord: Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />R inspection 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 />` r <br />vl/ <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />pK <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />A �S <br />c!/ <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />T , CONSTRUCTION'< <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />_ <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 />f�Wn <br />RESTROOMS <br />❑ ShowersMr <br />❑ Toilet & Dressing <br />Q <br />❑ Ventilation <br />#14 j � <br />WATER QUALITY <br />❑ Chlorine,t <br />AJC <br />❑ PH <br />❑ Cyanuric Acid <br />ado <br />0 <br />A. <br />❑ Clarity <br />Dot <br />❑ Test Kits <br />-MISCELLANEOUS <br />LlSupervision & Control <br />1 <br />(! <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent <br />Time In: /b; <br />ceived By: <br />'� <br />ec <br />s by: <br />/ ✓LG.LI\ <br />Time Out: <br />EHD 36-015-a-12 SWIMMING POOL OIR v Page 4�,of ,L <br />