Laserfiche WebLink
Pasfn. SAN JOAQUIN COUNTY <br />r' ENV,. -)NMENTAL HEALTH DEPARTM, r <br />1868 East 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: <br />Date: L <br />Address: <br />City: Zip Code: <br />Owner/Operator: <br />a- Telephone: <br />Program Element: 210bo Program Record: Inspection Type: 6i yY,. <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 & SafetCode Violations and must be corrected as indicated: <br />❑ <br />❑ <br />Filters _ <br />Pumps <br />✓1.. i��� �� <br />,,., " h /f /' <br />. ' (4t- <br />U <br />Chlorinator <br />E]iam. <br />❑ <br />Flowmeter <br />�\ <br />❑ <br />Gauges <br />"�/ f 4 <br />(ij/✓'zti. I 4VI(, v?e <br />❑ Skimmer & Gutters <br />❑ <br />Mack Flow Prevention <br />)� r � (-/ �L ye- �At � <br />-;�c.GLfiLc-�' <br />❑ <br />Main Drain Cover <br />d" Q%vtx <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ <br />Fencing/Gates <br />/l2f YLQ [��d 0f4t f.)<fiPt Gy*74 <br />❑ <br />Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />SAFETYEQUIPMENT <br />rY4jr-e kvw Q40- 441 AQwi&tlH <br />❑ <br />❑ <br />❑ <br />Rescue Pole <br />Life Ring <br />Safety Signs <br />�"'t� <br />Wk � � �7/p , , � IiC > luw[kit <br />4j 4 Vt4e-/ 1;107 {Vel .y- J <br />❑ <br />Lifeguard <br />r Gl/LOf nIr/z <br />❑ Pool/Deck Lighting <br />❑ <br />Ladders/Hand Rails <br />W eA _ fh ZZ <br />❑ <br />Depth Markers/riles <br />L(/' -C <br />❑ First Aid Kits <br />❑ <br />Emergency Shut-off Switch <br />C <br />_ <br />RESTROOMS" <br />V. <br />Ul.UI <br />❑ Showers <br />❑ <br />❑ <br />Toilet & Dressingn� <br />Ventilation <br />_ <br />WATER QUALITY QUALITY <br />❑ <br />Chlorine <br />❑ <br />Cyanuric Acid <br />❑ <br />Clarity <br />F! <br />VL. d� <br />E] Test Test Kits <br />MISCELLANEOUS <br />❑ <br />Supervision & Control <br />❑ General Sanitation <br />❑ <br />Algae <br />Influent: <br />Effluent: <br />Time In: <br />R c iv y: <br />Inspected by: <br />Time Out: <br />EHD 36-01 5-8-12 SWIMMING POOL DIP Page — of <br />