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Pa�.ln. SAN JOAQUIN COUNTY <br />ENvIRONMENTAL HEALTH DEPARTrviENT <br />T -1 <br />w: '• 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />• "'F'-'A`P Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd Rb <br />SWIMMING POOL OFFICIAL INSPECTION REPORT (��.} ) <br />Name of Facility: A — Date: - <br />Address: c*6 City: `T Zip Code: <br />Owner/Operator: Telephone: 612 _ <br />Program Element: I Program Record: Inspection Type: <br />Flow Rate (gpm) <br />pH: <br />Chlor): <br />I rine (pp <br />1.0 <br />d'g <br />Cyanuric Acid (ppm): <br />'B' <br />Te p: y <br />Reinspection on or after. <br />r. <br />Othe <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />[�^ Filters <br />( ,i n.r`rn <br />®" Pumps <br />Chlorinator <br />�^ Flowmeter <br />p <br />l� Gauges <br />Z <br />[� Skimmer & Gutters <br />Back Flow Prevention <br />mYru r <br />[� Main Drain Cover <br />lO (-14 d <br />fD,' Equalizer Line Cover <br />CONSTRUCTION. <br />--C r <br />2Pool Shell <br />Fencing/Gates <br />(A� <br />2Decking & Coping <br />❑ Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />[[ Rescue Pole <br />[� Life Ring <br />® Safety Signs <br />❑ Lifeguard tJ IA. <br />[►Y Pool/Deck Lighting <br />Ladders/Hand Rails <br />EY Depth Markers/Tiles <br />❑ First Aid Kits <br />Emergency Shut-off Switch <br />RESTROOMS:�" <br />C� Showers <br />[S�,4 Toilet & Dressing <br />DVentilation <br />WATER QUALITY <br />b2" Chlorine <br />®" pH <br />0" Cyanuric Acid <br />Clarity <br />[� Test Kits <br />MISCELLANEOUS <br />Supervision & Control <br />(� General Sanitation <br />Algae <br />Influent: a I <br />Effluent: I <br />Time In: '�t'% <br />Received By: <br />Ina, &,/� He <br />Inspe c ted by: <br />Time Out: <br />a : c� <br />EHD 36-015-8-12 SWIMMING POOL OIR Page 4, of / v <br />