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'�{ f SAN JOAQUIN COUNTY <br />Er, RONMENTAL HEALTH DEPART NT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Date: to <br />Address: Q- <br />City: <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: Program Record: <br />Inspection Type: V0�O <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENTa, <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />viC� sD <br />❑ PUMPS <br />0 <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />i <br />' <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />�' <br />w r vlo <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />o <br />L1 Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />6 <br />B 0?�7 <br />❑ Wade Pool -2 Main Drains <br />'SAFETYEQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />— <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />-: RESTROOMS. <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 />h <br />NU I WNW <br />❑ Supervision &Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: <br />Time Out: <br />R c <br />K <br />Inspected by: <br />EHD 36-01 7J7-09 SWIMMING POOL OR V Page / of <br />