Laserfiche WebLink
P.�m.. SAN JOAQUIN COUNTY <br />Et 90NMENTAL HEALTH DEPART iNT <br />1868 t=ast Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: ✓ ✓ l Date: <br />Address: )— City: Zip Code: <br />Owner/Operator: f101WV70r KV141PW Telephone: <br />Program Element: Program Record: 1 ?, Inspection Type: yn nt <br />Flow Rate (gpm): <br />so <br />PH: t y( <br />—I <br />Chbrine (pp <br />l/C abe : <br />Cyanuric Acid (ppm): <br />-7-0 <br />Temp: Reinspection on or after: <br />Other <br />RECIRCULATION EQUIPMENT <br />emarked violations represent Health&Safet Code Violations and.must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />n G' .,0 <br />U /'WJ <br />` <br />0) no <br />❑ Chlorinator <br />❑ Flowmeter <br />GiJA'G�L S <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />( o <br />YV <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />+ <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 />REST.ROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUSI <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: n <br />V <br />Effluent: I I n <br />Timeln:/ <br />e ived By Inspected by: <br />Time Out:S,(nn,. <br />EHD 36-01 5-6-12 SWIMMING POOL OIR Page — of _ <br />