Laserfiche WebLink
Pauly.. SAN JOAQUIN COUNTY <br />ENS, _ .ONMENTAL HEALTH DEPARTN. 4T <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sigov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REP013T <br />Name of Facility: <br />Date: Z <br />Address: <br />City: <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: Program Recor : <br />Inspection Type: <br />Flow Rate (gpm): pH: <br />-7 • i U <br />Chlorine ppm�)f: <br />'al�%"q e. p <br />Cya uric Acid (ppm): <br />L-50 <br />Temp: /,D� <br />6, <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPIMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />1,10 <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <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 <br />SAFETY EQUIPMENT <br />❑ Rescue Pole _ <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth MarkerslTiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />- RESTROOMS --- <br />_❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />II 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 />Iv <br />Effluent: /� }7� 1 <br />Time In: 10:3_�' <br />Time Out: <br />Re 'v d B W <br />Llnspe�pted by: <br />_O'J�C,� <br />EHD 36-015-8-12 SWIMMING POOL OIR Page of <br />