Laserfiche WebLink
aPa.m. SAN JOAQUIN COUNTY <br />' E IRONMENTAL HEALTH DEPAR- :NT <br />u 1 <br />1868 Last Hazelton Avenue, Stockton, CA 95cv5-6232 <br />• <(F 'p\+p•• , Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: -Yn Date: _9 -16 <br />City: Cc,Zip Code: 01 S- 3 <br />Owner/Operator: C7., t 4 Telephone: <br />Program Element: 3 Program Record: b o 33 I Inspection Type: <br />Flow Rate (gpm): <br />'_� 5 <br />pH: <br />- u <br />Chlorine (ppm): <br />_ C . �1. Q <br />C. C 0.0. <br />Cyanuric Acid (ppm): <br />> loo <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetyCode Violations and must be corrected as indicated: <br />❑ Filters <br />l -5 <br />❑ Pumps <br />l <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />E] Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping _ <br />❑ Wade Pool - 2 Main Drains <br />SAFETYEQUIPMENT <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 />REST.ROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />IT Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />- <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />_ <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: �- <br />Time In: l!3S <br />R ceived By: <br />/ 44� <br />Inspected by: <br />14 - un( \O.✓Q2 <br />Time Out:2'. \ <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page -j— of A_ <br />