Laserfiche WebLink
SAN JOAQUIN COUNTY <br />E%JNMENTAL HEALTH DEPARTA T <br />K' 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: <br />Date: -141 <br />Address: S' <br />City: <br />Zip Code: p <br />Owner/Operator: <br />e- <br />Telephone: C' „ ., <br />Program Element: Program Record: O <br />Inspection Type: <br />Flow Rate (gpm): <br />-tS <br />Chlorine (ppm): <br />.& O y� <br />VtC GG <br />Cyanuric Acid (ppm): <br />^ <br />Ll% <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations re resent Health&S fet <br />Code Violations and must be corrected as indicated: <br />❑ Filters <br />-' <br />_ <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑' flack Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTIO.N_.. <br />❑ Pool Shell <br />❑ Fencing/Gates <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 />— <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />T <br />❑ General Sanitation <br />❑ Algae <br />( ` <br />Influent: i/L f <br />Effluent: l/I <br />1 <br />�,pf <br />Time In: <br />Received B <br />I pe ed b <br />, 3 <br />Time Out:10g <br />EHD 36-01 5-8-12 SWIMMING POOL OIR <br />1 <br />Page 1- of <br />