Laserfiche WebLink
t� SAN JOAQUIN COUNTY <br /> P <br /> ENV NMENTAL HEALTH DEPARTMI <br /> \: 1868 East Hazelton Avenue, Stockton, CA 95205-o232 <br /> Telephone:(209)468-3420 Fax: (209)468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: --Q <br /> Address: City: L014., Zip Code: 9518 0 <br /> Owner/Operator: Telephone: <br /> Program Element: (e j Program Record: C 3 C),2 9 Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid Temp: Other: Reinspection on or after: <br /> �m <br /> INo � ti (ppm): <br /> 43op <br /> MAJ=Major Violation OUT=Not in Compliance COS=Corrected on-site <br /> See reverse side for code sections and general requirements that correspond to each violation listed below. Items listed on this report as violations do not <br /> meet the requirements set forth in the California Health and Safety Code section(s)116043, 116040,&116050. All violations must be corrected within <br /> specified timeframe. Violations that are classed as"MAJOR"pose an immediate threat to public health and must be corrected immediately or be subject to <br /> closure pursuant to Cafifornia Code of Regulations(Title 22)section 65545. <br /> VIOLATION MAJ OUT COS VIOLATION MAJ OUT COS <br /> 1 Pool Gates ❑ ❑ ❑ 35 Flow Meters ❑ ❑ <br /> 2 Pool Enclosure ❑ ❑ ❑ 36 Pressure and Vacuum Gauges X ❑ <br /> 3 Safety Signs ❑ ❑ 37 Electrical Hazards ❑ ❑ ❑ <br /> 4 Safety Equipment ❑ ❑ ❑ 38 Filter Cleaning and Maintenance ❑ ❑ <br /> 5 Restrooms and Showers ❑ ❑ 39 Wastewater Disposal ❑ ❑ <br /> 6 Hose Bibb Anti Siphon Device ❑ ❑ 40 Spray Ground UV Disinfection ❑ ❑ ❑ <br /> 7 Pool Deck ❑ ❑ 41 Spray Ground Pumps Interconnected ❑ ❑ ❑ <br /> 8 Pool Deck and Lighting ❑ ❑ 42 Spray Ground Recirculation System ❑ ❑ ❑ <br /> 9 Ladders and Handrails ❑ ❑ 43 EHD Approval Required ❑ ❑ ❑ <br /> 10 Disinfectant Residual ,® 50 44. Lifeguard Certification ❑ ❑ <br /> 11 Combined Chlorine Concentration ❑ ❑ 45 Lifeguard First Aid Equipment ❑ ❑ <br /> 12 pH Level ❑ ❑ ❑ 999 Other ❑ ❑ ❑ <br /> 13 Cyanuric Acid Concentration ❑ ❑ ❑ <br /> 14 Chemical Water Test Kit ❑ ❑ <br /> 15 Operation Records El ❑ 1 <br /> rt— Yf9 PFS"Iec� e <br /> 16 Water Clarity El ❑ II <br /> 17 Cleanliness of Pool ❑ r I 1 mk <br /> 18 Pool Shell and Tile El ❑ <br /> r <br /> 19 Depth Markers El ❑ /� <br /> 20 Depth Marking Line El 1:1l <br /> 21 Water Level ❑ ❑ ;-5 p� <br /> 22 Skimmer Assembly ❑ , <br /> 23 Pool Inlets and Outlets ❑ ❑ 1 l <br /> 24 VGB Suction Covers El ❑ <br /> 25 Spa Emergency Shut Off Switch ❑ ❑ IT <br /> 26 Spa Operating Temperature ❑ ❑ ❑ <br /> 27 Pool Equipment Room ❑ ❑ <br /> 28 Safety Vacuum Release System ❑ ❑ ❑ <br /> 29 Recirculation System Operation ❑ ❑ ❑ A&e LOaBC}164 <br /> 30 Pool Equipment&Plumbing Maintained ❑ ❑ e <br /> 31 Disinfectant Feeders ❑ ❑ ❑ tt'�e* <br /> 32 Chemical Control and Monitoring System ❑ ❑ <br /> 33 Minimum Turnover Time ❑ ❑ <br /> 34 Maximum Flow Rate ❑ ❑ <br /> ALL EHD STAFF TIME ASSOCIATED WITH BRIN G THIS FACIL TO COMPLIANCE,INCLUDING REINSPECTIONS,WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> Time In: I Time Out: Rece" e Inspected B . <br /> EHO 36-01 Rev.08/08/16 Page 1 of_ SWIMMING POOL OIR <br />