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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMEN1 <br />304 East Weber Avenue, 3" 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 he corrected as indicated: <br />• Filters <br />FOO I 1 71 ik.k.4. it.v4- boo olio-UAL() .,_ • Pumps <br />( i p \ tvIAINe- I 1 :74.41 OA (TvAAA • Chlorinator <br />• Flowmeter <br />• Gauges <br />VCNO L. 1 ( tO ex ill Po i) • Skimmer & Gutters <br />• Back Flow Prevention .;-- 0 ' ,to 4 .0) Otvk 4 - )tie,Ai , 1 111.7V h.; c.• ?l,4 4•y-,..., v....44V .-t.:tv..9,...\.4 • Main Drain Cover <br />IA f ri ;tie. 1 Wi21 a+ "If \Ai 47, // ':\NAIAA0e141 DItti-A -414 al - • Equalizer Line Cover <br />CONSTRUCTION /I) POSY (d-D affi, tve d L 0°14' (' a ( A 4'1 C 11,11„A, -- • Pool Shell L.- <br />---tAii. Aep c ftv--- •:..8/ , r ((fir -e tock keit_ . Ai , yk O Fencing/Gates <br />. Decking & Coping <br />it) <br />9 (-;(44,..t , „..i..Q.R. -flit-..0 ctilk wi ic;1\el3 (Lap 10-c..R. • Wade Pool — 2 Main Drains <br />1- > p r it pert 4 II f A <br /> <br />) il kt4- /-1 50 /. <br />SAFETY EQUIPMENT <br />Rescue Pole <br />• Life Ring <br />• Safety Signs <br />• Lifeguard <br />• Pool/Deck Lighting <br />POOL 2 • Ladders/Hand Rails <br />• Depth Markers/Tiles <br />1,At,:tke 10 o fr— 5 !Pi'uri ni . L, ., 4 i 6 _ • First Aid Kits <br />• Emergency Shut-off Switch <br />RESTROOMS <br />• Showers <br />• Toilet & Dressing <br />1'2(4? _I 4-1 c <br />' <br />pen <br />l kt • 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 />Effluent: <br />Time In: J :IA, Received B • • A In.apeyted by: <br />Time Out: A i 4,c/hi 4 <br />EHD 36-01 5/26/05 P:12C