Laserfiche WebLink
SAN JOAQUIN COUNTY <br />?a ENVIRONMENTAL HEALTH DEPARTMENT <br />N: < <br />600 East Main Street, Stockton, CA 95202-3029 <br />�:.. P. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />qtl FORN <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: OD d a A Date: 9-10 -O <br />Address: c2 City:Zip Code: 2 <br />Owner/Operator. ` 4vL Poo 1 Telephone: 3.2 t -c? l <br />Program Element: Program Record: to O Inspection Type: rv-.,- <br />Flow Rate (gpm): <br />enol ? <br />OR <br />Pool 7.'� <br />500- 1.0 <br />Chlo ine (ppm): <br />f o spq <br />FC 00 <br />o'er Cc- o • <br />Cyanuric Acid (ppm): <br />Poo 1 ya <br />1 <br />S 0- &D <br />Temp: u <br />s AIvq <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 />Q� Filters <br />o pp I Otr � s ch to r• ne Lt uJS Uir Lo L-0 <br />[v{ Pumps <br />[]• Chlorinator <br />13, Flowmeter <br />V� O o � i• 5- 10 • re <br />9 Gauges <br />A t l a .p _ 1 15 rr7 <br />I2 Skimmer & Gutters <br />❑ Back Flow Prevention <br />Main Drain Cover <br />[ Equalizer Line Cover <br />CONSTRUCTION <br />y -k" -r Lk Vj-•P- S 3 fc <br />[] Pool Shell <br />[� Fencing/Gates <br />-1 <br />[� Decking & Coping <br />p ck- L F, Lo vJ • mo <br />❑ Wade Pool -2 Main Drains <br />_ SAFETY EQUIPMENT <br />a_•7 - Lkv-a 0.7.14 <br />[� Rescue Pole <br />ei)_ ?0co b .e. <br />Life Ring <br />Q Safety Signs <br />rno u� c wi r� b rus ao <br />E] Lifeguard <br />[� Pool/Deck Lighting <br />[a' Ladders/Hand Rails <br />c• <br />"Te rir1 Prov-- ds= oru Lmrn2- <br />Q Depth Markers/Tiles <br />CLk Le W Co rr, <br />❑ First Aid Kits <br />[�- Emergency Shut-off Switch <br />e. <br />`ri Crain C[SV acK2 (0. C..q. <br />RESTR04SaS <br />�!S <br />Lm .� CIO Yr" -'k i <br />❑ Showers <br />[� Toilet & Dressing <br />j11 <br />L,n e W 2 u c,,+ (Xr �7 � rnd. <br />[� Ventilation <br />rn-y 44-1 Lg 2 <br />WATER QUALITY <br />Chlorine <br />❑" Cyanuric Acid <br />CO Vo.Y rO b 2.w x-t<S For u00 l <br />Clarity <br />Q Test Kits <br />_.. MISCELLANEOUS <br />Q Supervision & Control <br />YLO 4-2 -fir <br />M General Sanitation <br />[� Algae <br />Om _ .Lori iar <br />Poo St'" <br />Influent 7 1 1 <br />e <br />Effluent:o <br />J 1 <br />S Q S T•YLLt.�.✓i lylaH � was YZ �1.f2-G� CLl/ r i n (.rtS'pZC"K e7u <br />Time ln; <br />Receiv�/ y: <br />`U <br />Inspected by: <br />Time Out: 1 a :1 S <br />EHD 36-0105-29-2007 Page I of q <br />