Laserfiche WebLink
SAN JOAQUIN COUNTY AY"J'F4�( <br /> EN, ,,AONMENTAL HEALTH DEPART, VT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ]yb`Ap Telephone:(209) 468-3420 Fax:(209)468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: 8' <br /> Address: T✓6 o-aA City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: 11) Progra Record: Q 3 Inspection Type: Ah jhvlk <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters j/j/JL � pa p <br /> ❑ Pumps f /M <br /> ❑ Chlorinator av-� 40 <br /> ❑ Flowmeter .�f/�(� � <br /> ❑ Gauges Ala <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Preventionw <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover /nA <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking& Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOM.S <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 /> Time In: <br /> 2 I Received By: Inspected by: <br /> Effluent: Time Out; <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page_of <br />