Laserfiche WebLink
ip <br /> SAN JOAQUIN COUNTY <br /> EN —AONMENTAL HEALTH DEPARTIv,�NT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)468-3877 Web:www.sigov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: <br /> Date: <br /> Address: - U City: k4n Zip Code: <br /> Owner/Operator: V <br /> V Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Rei pection on or after: <br /> Other: <br /> RECIRCULATION EQUIPMENT The marked violations re afetv Code Violations and must be corrected as indicated: <br /> ❑ Filters )601w 5 <br /> E-] Pumps VIAdl1 <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges co <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover %F3 <br /> ❑ Equalizer Line Cover IA AAA, <br /> CONSTRUCTION O <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping I� �/n�--� <br /> ❑ Wade Pool-2 Main Drains V ck& D e- <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole F <br /> ❑ Life Ring wtat. o-4 5 1L <br /> ❑ Safety Signs i <br /> ❑ Lifeguard �a W <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits _ ` <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> E-] Showers +—�-t -- <br /> ❑ Toilet& Dressing <br /> E] Ventilation 3 (t. <br /> WATER QUALITY � ' <br /> ❑ Chlorine <br /> ❑ pH (741 rtxA . �0 tli 4 Mr <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> Test Kits S ovyeq <br /> ❑ °� 4,d1�, ryv� ipyt <br /> MISCELLANEOUSm <br /> & Control <br /> UN c' <br /> ❑ Supervision I <br /> ❑ General Sanitation bti I /t( w / SWQ S <br /> ❑ Algae 4 I CI <br /> Influent: Ak AAA- ,� <�V�•L _ Aou <br /> t <br /> Time In: Racer ed B 1i46 <br /> 0TAed by: <br /> Effluent: ,QQG� ;�� <br /> Time Out: 3 . S <br /> =HD 36-015-6-12 SWIMMING POOLOIR Page of <br />