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Pq� SAN JOAQUIN COUNTY ENv.RONMENTAL HEALTH DEPARTI\,NT 600 East Main Street, Stockton, CA 95202-3029 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd 9Ci F 0P? SWIMMING POOL OFFICIAL INSPECTION REPORT Name of Facility: Date: % Address: ((7 City:dr— Zip Code: 1 Aa Owner/Operator: Telephone: Program Element: Program Record: Inspection Type: Asst v A* vcfy Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp: Reinspection on or after: Other: RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: Filters dD t /,1Z ❑ Pumps ❑ Chlorinator ❑ Flowmeter ❑ Gauges 7NZijA ° _ TAx %h ❑ Skimmer & Gutters ❑ Back Flow Preventionn !►'-L000� r ❑ Main Drain Cover q Or 0AV C 04AehQ 1 ❑ Equalizer Line Cover CONSTRUCTION rl ❑ Pool Shell ❑ Fencing/Gates ❑ Decking & Coping y a ❑ Wade Pool - 2 Main Drains SAFETY EQUIPMENT (( ❑ Rescue Pale c u Cott, ❑ Life Ring ❑ Safety Signs ❑ Lifeguard Q 3 /r E]Pool/Deck Lighting ❑ Ladders/Hand Rails ❑ Depth Markers/Tiles •'0 ❑ First Aid Kits E]Emergency Shut-off Switch ` / y� - . �} Y6C /'✓MND- RESTROOMS 2 . yf a,,s2 n ❑ Showers ❑ Toilet & Dressing 0C ❑ Ventilation WAj,T t' QUALITY _ Chlorine ❑❑ WIiC (nrl�i« a HP ❑ Cyan uYr��,eQ IA ,' �'e dALt ❑ Clarity� :) Q I _yi d4a,tle RU44T. E]Test K MISC OUS ❑ Supervi ntrol p ❑ General ❑ Algae Influent: Effluent: (f•.r.-� rl ..(c /�'`'P ° Time In: Received By: Z"' f I nspected by: 17 j, ' Time Out: EHD 36-017-18-08 SWIMMING POOL OR