Laserfiche WebLink
SAN JOAQUIN COUNTY ' <br /> r. Z ENVIKONMENTAL HEALTH DEPARTMEL.,f <br /> a: :a <br /> 304 East Weber Avenue, 3�d Floor, Stockton, CA 95202-2708 <br /> �.• R�.i:. Telephone:(209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: �� R G� Date: <br /> Address: Cj A` G l tK City: f Zip Code: p ; <br /> Owner/Operator: _S I0-0 w- Id G Telephone: y77 - .3y6'— <br /> Program Element: �6 , Program Record: o-?6 C>/0 Inspection Type: Follor J -L, SS U <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 Q / 2�� <br /> [-] Pumps G« U <br /> ❑ Chlorinator <br /> ❑ Flowmeter o <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters SZ>02 <br /> ❑ Back Flow Prevention , <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> ❑ Pool Shell m� ` <br /> ❑ Fencing/Gates Qti • z- G2i�� 1 <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains ;6 -1"' <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring �(i1J✓LP/l — ' <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits d <br /> ❑ Emergency Shut-off Switch - <br /> RESTROOMS <br /> ❑ Showers <br /> ❑ Toilet&Dressing _ <br /> ❑ Ventilation <br /> WATER QUALITY /-,r7 or. C <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: Received Received By: Inspec ed by: <br /> Effluent: <br /> Time Out: C�; �� - <br /> EHD 36-01 5/26/05 Page of_ <br />