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au+n. SAN JOAQUIN COUNTY <br />.a <br />2' ENN,.,tONMENTAL HEALTH DEPARTM, AT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />" T Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />ro <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Address: <br />City: <br />Date: <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: Program Record: - - -"- <br />—` <br />Inspection Type: (0 <br />�t <br />Flow Rate (gpm): pH. <br />Chlorine (ppm):Cyanuric <br />Acid (ppm): <br />Temp: <br />R inspe ion on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />114�± <br />D <br />2 eL— <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />a <br />❑ Skimmer &Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION c4 <br />t <br />4M <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />i <br />❑ Wade Pool -2 Main Drains <br />f <br />_ SAFETY EQUIPMENT _ <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markersrriles <br />iLIvQ�2! <br />❑ First AidKits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />/04d <br />99— ;ALMx <br />❑ Showers <br />❑ Toilet & Dressing <br />1 <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH _ <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />- MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />/r <br />Time In: I <br />Time Out: �� �/(� <br />1 1' <br />Received B <br />nspeEQ33 <br />: <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page —Aof 1 <br />