Laserfiche WebLink
Q,su,y. SAN .JOAQUIN COUNTY <br />ENVh.JNMENTAL HEALTH DEPARTME., f <br />600 East Main Street, Stockton, CA 95202-3029 <br />a Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />5�/FOPS <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Date: <br />Address: L(„� <br />City: <br />Zip Code: <br />Owner/Operator. <br />S Telephone: S <br />Program Element: Program Record: rJ <br />d <br />Inspection Type: <br />Flow Rate (gpm): <br />3-0 <br />71 <br />Cphlori�nle (ppm): <br />oov C C <br />Cyanuric Acid (ppm): <br />o Af y4'1 <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 />V6 <br />i06110- irvl� <br />❑ Chlorinator <br />❑ Flowmeter <br />�J <br />4' /� <br />❑ Gauges <br />c <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />Equalizer Line Cover <br />CONSTRUCTION <br />` <br />❑ Pool Shell <br />❑ Fencing/Gates <br />` <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 />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />V . . ifiiy�t:�LJ1f�1�4�5 <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: Y <br />Effluent: <br />Time In: a P e Ived <br />Time Out: , <br />Insp ed by: <br />EHD 36-01 7-18-08 SWIMMING POOL OR L�/ , U v <br />