Laserfiche WebLink
SAN JOAQUIN COUNTY <br />EN\j.RONMENTAL HEALTH DEPARTi, AT <br />N 1 K <br />• 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Fa Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT 69, <br />Name of Facility: Date: / <br />Address:City: Zip Code: '? <br />Owner/Operator: elephone: <br />Program Element: Program Recor . inspection Type: <br />Flow Rate (gpm): <br />p : <br />Chlorine (p <br />'� <br />Dr � CC <br />Cyanuric Acid (ppm): <br />Temp: o r <br />Reinspectio on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />[:1 Filters/ <br />❑ Pumps <br />/J l�17 n <br />/2-. f t <br />E] Chlorinator <br />❑ Flowmeter <br />AbAU <br />❑ Gauges` <br />JJ <br />% 9 /y <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />° <br />❑ Main Drain Cover <br />p�r Ap <br />Wpil/V p,r�R/J�psy. <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />------------- <br />❑ Wade Pool — 2 Main Drains <br />SAFET P1EQUII'MENT <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />u / <br />❑ Lifeguard, <br />❑ Pool/Decl� Lighting <br />❑ Ladders/ and Rails _ <br />ir <br />❑ Depth Markers(Tiles <br />IV <br />❑ First Aid Kts <br />❑ EmergencyShut-offSwitch <br />vok <br />RESTROOMS <br />❑ Showers <br />❑ Toiletif Dress g <br />C <br />❑ enj do <br />ER QUALITY <br />❑ Chlori <br />Ela <br />tj i i <br />❑ Cyanuric A <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />o ` <br />Influent: y 1 <br />Effluent: C> PSI <br />q/ 1 Z60- Pli <br />Time In:jr <br />I < <br />ec iv d y: <br />_ t �� <br />nsp cted by: <br />r <br />!, <br />Time Out: V <br />EHD 36-01 5-8-12 SWIMMING POOL OR V Page <br />+of 1 <br />