Laserfiche WebLink
a <br />SAN JOAQUIN COUNTY <br />ENS, JNMENTAL HEALTH DEPARTN T <br />N: <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax:„(20,9) 468-3877 Web: www.sjgov.org/ehd <br />"IMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />i"L /1,. <br />Date: <br />Address: <br />City: <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: Pr <br />ram Record: <br />O <br />Inspection Type: <br />' <br />Flow Rate (gpm): <br />p : <br />Chlorine (p <br />� pm C:✓ <br />: <br />Cyanuric Acid (ppm): <br />1 5 <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 />( <br />. <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />1 <br />O <br />6 115 <br />❑ Gaugeskr <br />❑ Skimmer & Gutters <br />❑ Back Flow PreventionJ� <br />r <br />E] Main Drain Cover <br />(ryt <br />U�G�R <br />❑ Equalizer Line Cover <br />- CONSTRUCTION <br />ems' <br />❑ Pool Shell <br />❑ Fencing/Gates <br />2 <br />❑ Decking & Coping <br />❑ wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />U14 4 A, <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />1,41 <br />V <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />- RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />_ <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />-. MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae-Tc~ <br />I <br />L t r <br />/\1 <br />Influent: �f ht <br />'"I 1Y`7 <br />Effluent: <br />C <br />Time In: <br />'ved redbyr: <br />C <br />Time Out: <br />EHD 36-015-8-12 SWIMMING POOL OIR Page -I- of <br />