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�. �. SAN JOAQUIN COUNTY <br />EN IONMENTAL HEALTH DEPART[ VT <br />se <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />11�61�' Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Date: /6 <br />Address: % O City: Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: 6 V il Progr m Record: 03& "(40? Inspection Type: <br />Flow Rate (gpm): <br />' <br />pH: <br />' t <br />`-'� <br />Chlorine (ppm): <br />9. t,� FL <br />L v <br />Cyanuric Acid (ppm): <br />/M �uh <br />-so <br />Temp: <br />Reinspection 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 />V i�vu <br />CtlWy. <br />❑ Chlorinator <br />❑ Flowmeter <br />J � . - , <br />❑ Gauges <br />,I'L[0"t <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />L , <br />Vl� <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION- <br />•." tvkAV'IVWAVV%, <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 <br />❑ Emergency Shut-off Switch <br />❑ Showers <br />❑ Toilet & Dressing <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: l <br />Effluent: <br />Time In: I ' <br />r <br />Receiv B <br />Inspected by: <br />Time Out: <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page — of <br />