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aPRT!y,. A SAN JOAQUIN COUNTY <br /> Er '90NMENTAL HEALTH DEPART -,NT <br /> �• 1868 mast Hazelton Avenue, Stockton, CA 95 ..0-6232 <br /> :aR Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: k f <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> RECIRCULATION. EQUIPMENT,. The marked violations represent Health&SafetyCode Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑. Pumps ���� iv <br /> El Chlorinator Cyj� l-/ �f <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&-Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover c� <br /> 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 /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits i G iii l <br /> ❑ Emergency Shut-off Switch i <br /> .RESTROOMS. <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> WATER DUALITY <br /> _❑ Chlorine - <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision& Control <br /> ❑ General Sanitation <br /> ❑ Algae 6� <br /> Influent: <br /> Time In: R e c <br /> Effluent: <br /> Time Out: <br /> EHD 36-015-8-12 SWIMMING POOL OR Page of <br />