Laserfiche WebLink
r P91lN_ c SAN .JOAQUIN COUNTY <br />EN...<ONMENTAL HEALTH DEPARTh,_-AT <br />�° '• 600 East Main Street, Stockton, CA 95202-3029 <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: `' <br />city:7hapm Zip Code. <br />Owner/Operator. Telephone: <br />Program Element: Program Record: Inspection Type <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />/ <br />❑ Pumps <br />❑ Chlorinators <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />..CONSTRUCTION Am <br />❑ Pool Shell <br />❑ Fencing/Gates <br />I/ {S <br />❑ Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />i\L>r�• AzPX <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />OW <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ LaddersOG7iliAils <br />❑ Depth Markers Iles <br />❑ First Aid Kits --- <br />❑ Emergency Shutoff Switch <br />- TROD5:_ <br />❑ Showers <br />❑ Toilet & siDg <br />❑ Ventilatio - ,. <br />T- <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: <br />Time Out <br />Rec a By: <br />�• to� <br />inspected by: <br />EHD 36-017-31-09 SWIMMING POOL OIR Page ( of —/ <br />