Laserfiche WebLink
SAN JOAQUIN COUNTY <br />ENb IRONMENTAL HEALTH DEPARTML" NT <br />- 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br />c.._. P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />gCiFSPH <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Date:W �p <br />Address: City: Zip Code: <br />Owner/Operator: Telephone: 4.?7I <br />Program Element: Program Reco : Inspection Type: <br />Flow Rate (gpm): <br />I <br />pH: .7, rN <br />`f, <br />Chlorine (ppm): <br />0 lv t r Qfo <br />Cyanuric Acid (ppm): <br />Temp: <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 />❑ Filters <br />�e_ _ •L Q I+ ` AJ��a�'�-�ilY�` . <br />❑ Pumps12 <br />1 n aa <br />4-a <br />E] Chlorinator <br />Flowmete <br />Ll _l <br />�t�( <br />Gauges <br />st /L�� lAA41 7 [�' <br />, <br />Skimmer &Gutters <br />❑ Back Flow Prevention <br />t „ •p <br />-�('� <br />❑ Main Drain Cover <br />t <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />3 • � <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />/.n <br />to mu&&L �TJ�'� CX2,fLt� <br />❑ Rescue Pole <br />Z • t <br />❑ Life Ring <br />❑ Safety SignsQ- <br />N <br />o t, <br />E] Lifeguard <br />, <br />/' S <br />❑ PooUDeck Lighting <br />❑ Ladders/HandRails <br />�//� <br />D :37 00 G _ _ ✓/ _ <br />E] Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />_—IH <br />J.dJLfGl�� <br />RESTROOMSLA <br />I <br />C <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />\ <br />❑ General Sanitation <br />❑ Algae <br />• 1 r"i F� <br />Influent: �� ��� <br />Effluent: � p�r <br />,1�1n •, <br />Time AM <br />S <br />Receiv <br />Inspected b <br />Time Out: <br />Out: )v <br />EHD 36-01 5/26/05 Page of <br />