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SAN JOAQUIN COUNTY <br />EN VIRONMENTAL HEALTH DEPAIn iviENT <br />304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 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: <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 & Safety Code Violations and must be corrected as indicated: <br />Filters <br />Pumps <br />Chlorinator <br />Flowmeter <br />Gauges <br />Skimmer & Gutters <br />Back Flow Prevention <br />1111 Main Drain Cover <br />Equalizer Line Cover <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 <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 />• Supervision & Control <br />• General Sanitation <br />• Algae <br />Influent: <br />! <br />Effluent: <br />l • t <br />, - ,---' Time In: , , . '...: I: Received By: Inspected by: <br />Time Out: <br />EHD 36-01 5/26/05 Page of