Laserfiche WebLink
SAN JOAQUIN COUNTY <br />EN vIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web; www.sjgov.org/ehd <br />9e/FOPa <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Date: <br />C <br />Address: 5,171YY 9 <br />City. <br />Zip Code: <br />- D <br />Owner/Operator: <br />Telephone:2rj <br />_ 6; 8 <br />Program Element: Program Record: <br />Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <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 <br />BeLft- -7_ <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />t <br />7 <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell'it <br />❑ Pencing/Gates <br />� <br />� <br />��, <br />L <br />❑ D_eckine & Coping <br />WG <br />❑ Wade Pool - 2 Main Drains <br />SAFETY. EQUIPMENT. <br />❑ Rescue Pole <br />�. <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />n <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RF.STROOMS <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 />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In:I yp <br />``R c ived By: <br />Ins p <br />ecte�dby�:,/�� <br />Time Out: <br />EHD 36-0105-29-2007 Page I of <br />