Laserfiche WebLink
aPauln.- SAN JOAQUIN COUNTY <br />yi F /IRONMENTAL HEALTH DEPAF IENT <br />186b East Hazelton Avenue, Stockton, CA 95205-6232 <br />• d COF�`p Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: kDate: dpllellk <br />Address: City: Zip Code: <br />Owner/Operator: pL Telephone: <br />Program Element: 3 %[J �� Program Record: 9% 3we2- Inspection Type: l�2e <br />Flow Rate (gpm): <br />S� <br />pH: <br />, , <br />Chlorine (ppm): <br />j• �( IGL <br />Cyanuric Acid (ppm): <br />/CS9 <br />Temp: J h / <br />9 V <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 />❑ Filters <br />❑ Pumps <br />C `i I 1 yl rA40 p. <br />❑ Chlorinator <br />❑ Flowmeter <br />WA&`, ON AAL <br />❑ Gauges <br />4-tL (,Q , <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />pjVV-MtQ 040 <br />❑ Main Drain Cover <br />V t d ii <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />d <br />❑ Pool Shell <br />❑ Fencing/Gates <br />�' <br />rw� A` �t�tarnrwH.s-n <br />❑ Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />- SAFETY EQUIPMENT <br />❑ Rescue Pole _ <br />[1 -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 />-RESTROOMS- <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: S <br />Effluent: r <br />t <br />Time In: <br />Receiv By: Ins ected `bey: <br />Time Out: <br />1r — ✓ <br />EHD 36-01 5-8-12 SWIMMING POOL OR Page — of <br />