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oPg�.lH SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> N; < <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> `Q�;FOFi�P Telephone: (209) 468-3420 Fax: (209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: .l d Date: 7-/ - d <br /> Address: City: a .r Zip Code: 5s'1 <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: Alco <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> RECIRCULATION EQUIPMENT The marked violations re resent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator rr / /1 e e d a j <br /> ❑ Flowmeter <br /> Elbe Gauges Gn do c ^_ L G/re,c i A / lde a A' <br /> ❑ Skimmer&Gutters S �d c�i1 )e all) h G S <br /> ❑ Back Flow Prevention 1;5 }e d q J MCAIA. k P(I 0 je7 do 1/ <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2 Main Drains C c^+ / 41071 <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 - r <br /> Influent: <br /> Time In: Rcei y: In pectegd by: <br /> �/�� <br /> Effluent: Time Out: <br /> EHD 36-01 5-8-12 SWIMMING POOL OR Page of Z <br />