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op4V+M. SAN JOAQUIN COUNTY <br /> N EMwiONMENTAL HEALTH DEPARTMr—NT <br /> ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> � FO <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: t i ` Date: _ <br /> Address: City: 7'/ Zip Code: <br /> S <br /> Owner/Operator: he c y Telephone: <br /> Program Element: Program Record: Inspection Type: i n <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> r_ C 1 " Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters G he c lea <br /> El Pumps 0 M• C G1lS <br /> ❑ Chlorinator 16? C /� / / 'n¢ ,l �. 81 (�' <br /> ❑ Flowmeter <br /> El Gauges by )uJ PP - d /Yl. C G o�c <br /> ❑ Skimmer&Gutters '7- Q, CGrr v c l o� <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover Q x to r p-d 4P/1 <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping - — - <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT <br /> ❑ -ova' <br /> Rescue Pole K <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 /> Time In: R e c e i d y: Inspected by: <br /> Effluent: <br /> Time Out: 44; Zd <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page Of_L <br />