Laserfiche WebLink
RSI.. SAN JOAQUIN COUNTY <br /> w� <br /> ENS )NMENTAL HEALTH DEPARTM T <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209)468-3877 Web:www.sigov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: U17-Zlir <br /> Address: 3 S City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element 2. Program Record: Z 'L Inspection Type: <br /> Flow Rate p pH: Chlorine( rril: Cya�uCric Acid(ppm): Temp: Reinspection on or after: <br /> (/ f 2 n Other: <br /> REC:IRC.ULATIQWEOUtPMENT_ The marked violations represent Health&/Safety Code Violations and must be corrected as indicated: <br /> ❑ FiltersC`li I VnW� <br /> L] Pumps J4 <br /> ❑ Chlorinator <br /> ❑ Flowmeter I_ <br /> ❑ Gauges �J <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover I n / <br /> ❑ Equalizer Line Cover C t0 <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> ❑ Rescue Pole <br /> Qf 61 r 0 1 <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 /> rYllii, <br /> ❑ Showers <br /> ❑ Toilet& Dressing <br /> ❑ Ventilation <br /> O U AL ITLri;�"..: <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> ` ;, M15CEL2At�EOtlS' <br /> ❑ Supervision& Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: �r-) <br /> Timeln: Q1• Received By: Inspected by: <br /> Effluent: ly, <br /> I IITime Out l` /`, ��� S ' �C+►'l�tl�`(� <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page_of_ <br />