Laserfiche WebLink
Qa yl . SAN JOAQUIN COUNTY <br />Er 10NMENTAL HEALTH DEPART' NT <br />e 1868 East Hazelton Avenue, Stockton, CA 952uo-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:.g ice. ` Date: 72- a/- /q <br />Address: I5 n City: ` Zip Code: <br />Owner/Operator:�j 'a Telephone: 1 L-7-0(02? <br />Program Element: Program Record: Q R Inspection Type: I - j rl -p-, <br />Flow Rate (gpm): <br />d O <br />pH: <br />'� _ (p <br />Chlorine (ppm): <br />3 -2 <br />O• <br />Cyanuric Acid (ppm): <br />i0 D <br />Temp: <br />Reinspection on or after: <br />other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetCode Violations and must corrected asindicated: <br />[� Filters <br />Pumps <br />Chlorinator <br />[� Flowmeter <br />tb_e <br />r <br />(� Y� <br />[� Gauges <br />t- L.e rS r <br />ET Skimmer & Gutters <br />❑ Back Flow Prevention <br />2" Main Drain Cover <br />r0 V l " r rf h e i ytV rnbQr <br />E-,Pl Equalizer Line Cover <br />CONSTRUCTION "' <br />s P l.t'. C'S Y C> <br />E� Pool Shell <br />Fencing/Gates?O <br />$+ <br />Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />SAFETYEQUIPMENT - <br />[a^ Rescue Pole _ <br />[+]' Life Ring <br />(� Safety Signs <br />Lifeguard <br />[� Pool/Deck Lighting <br />- <br />EP' Ladders/Hand Rails <br />[9� Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />.-RESTROOMS. <br />[�]^ Showers <br />Toilet & Dressing <br />_ <br />Ventilation <br />WATER QUALITY <br />[.� Chlorine <br />_ <br />[�] pH <br />[[� Cyanuric Acid <br />Clarity <br />[t}' Test Kits <br />MISCELLANEOUS <br />Supervision & Control <br />[� General Sanitation <br />Algae <br />Influent: of —9 <br />_ <br />C <br />Effluent: S <br />Time In: <br />la�y.� <br />Received By: <br />Inspected by: <br />� L� kfxtl�F <br />Time Out: 1 -yp <br />EHD36-015-8-12 SWIMMING POOL OIR 116060 Page 1of_ r <br />