Laserfiche WebLink
SAN JOAQUIN COUNTY <br />r. ? ENVIRONMENTAL HEALTH DEPARTMENT <br />Q: <br />304 East Weber Avenue, 3 d Floor, Stockton, CA 95202-2708 <br />�... P. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />qG%PORN <br />SWIMMING POOL OFFICIAL INSPECTION RF.POR i <br />Name of Facility: 1 S Date: 2 -( 1p (r <br />Address: liq I2C1 City: Zip Cade: <br />Owner/Operator: P/'-' 1'rD Telephone: En -(GIq <br />Program Element: ,( >, i2 Program Record: P (-22'�Q(p.2- G'3LG 2, 3' Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />CChhlloorine (ppm): <br />tittp PAm <br />Cyanuric Acid (ppm): <br />tWeitao <br />Temp: (GQ 1'pr <br />Reinspection on or after: <br />Other <br />RECIRCULATION EQUIPMENT <br />❑ Filters <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />r 5Ck Lo r 4 l ✓ta, a..uw�ti'c i..2 v.c_.Q, -{Teti ]7-t 1'7 <br />❑ -Pumps <br />(� n [,. <br />❑ Chlorinator <br />❑ Flowmeter <br />- c -k [o r % e. iw'tei <br />❑ Gauges <br />❑Skimmer & Gutters <br />• 0 - 15 -O rrl �t�"�-c•� C r� v n der toOp <br />Back Flow Prevention <br />Ela <br />> CA-+ CL51,e <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />pp S rn n,�y ,Y. S f. (�o _p_, <br />CONSTRUCTION <br />r0 tJ'C aq- b W? .e- <br />❑ Pool Shell <br />❑ Fencing/Gates <br />'� POO( C.D i ` U_ Rz- _a c) b <br />❑ Decking & Coping <br />l' ZVJi-�e_ �,S ' <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />G/ �Op ! s] 0 \/-e- r 10 -44 <br />Rescue Pole <br />_❑ <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />f A ��" <br />( 't,.v�Y Vi D (a-'(i6h S W /t -i -N-'\. <br />El 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 />❑ Algaee <br />POO I <br />Sr <br />Influent: if) 12 <br />Effluent: <br />Pt <br />Time In: Zc� <br />Rec ed �yy <br />) <br />h <br />Inspected by: <br />�lw-e4&i /'z --'C (�jl <br />/ <br />Time Out: <br />EHD 36-015/26105 V/ V P'.P I of <br />