Laserfiche WebLink
aP�7� SAN JOAQUIN COUNTY snim )4�4LP <br />Er 30NMENTAL HEALTH DEPART 1.NT <br />ar 1868 East Hazelton Avenue, Stockton, CA 95kv-6-6232 <br />'�;k...:. Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Date: <br />Address: <br />,`V City: <br />Zip Code: <br />Owner/Operator. Jlyt <br />Telephone: <br />Program Element: 3 (p I ' L Program Record: 03(9 a (.; <br />Inspection Type: /c <br />YR_ <br />Flow Rate (gpm): <br />pH: <br />` <br />Chlorine (ppm): <br />L a • 1 r L- <br />.o ffC_ <br />Cy uric Acid (ppm): <br />Ms '}y�(nv) <br />3P <br />Temp: <br />Reinspection on or after: <br />Other: <br />_RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety <br />Code Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />I—xirc (i <br />c r <br />tik& <br />Athkut <br />JgA42- <br />0,04 <br />❑ Chlorinator <br />❑ Flowmeter <br />Vt/✓W` <br />(Mi(i44 <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />L L <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 Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />El Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid _ <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS ''. <br />VVV't M•k�ii „p_. <br />l.rR- <br />Vl p, l <br />vv'ans! <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: ( I ) <br />��I""��LIII111��, <br />Time In: r O,ro <br />vv <br />Rec ived By: <br />-'dAW <br />Inspected by: <br />Time Out. <br />EHD36-015-8-12 SWIMMING POOL OIR Pa _of <br />