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oP4�IN. SAN JOAQUIN COUNTY <br /> 2r '? ENVIRONMENTAL HEALTH DEPARTMENT <br /> N• � <br /> ._- 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> cq�;oRa" Telephone: (209)468-3420 Fax: (209)468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: l,-,- 2-1 5 <br /> Address: y �7 1 City: „ Zip Code: 'T S 33'7 <br /> Owner/Operator: (2 N\ _ - Telephone: So 29 <br /> Program Element: 3' `� Program Recor. 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 CO fcz - <br /> ❑ Pumps <br /> ❑ Chlorinator - <br /> ❑ Flowmeter \ <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters Q„�� ��ir2 <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates C �Q <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2 Main Drains <br /> SAFETY EQUIPMENT — <br /> ❑ Rescue Pole <br /> ❑ Life Ring C <br /> ❑ Safety Signs <br /> ❑ Lifeguard \ <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ElDepth Markers[T'iles \Q- 5 U <br /> J <br /> ❑ First Aid Kits C� <br /> ❑ Emergency Shut-off Switch S O 1 <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 /> Timetn: 1\' �� R�e�ce v}ed By�NtIV`- �� Inspected by: <br /> Effluent: <br /> Time Out: Q O <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page of ` <br />