Laserfiche WebLink
uln. SAN JOAQUIN COUNTY <br />EN,.,lONMENTAL HEALTH DEPARTN—AT <br />'• 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />•..:R Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility::ahv�x�' <br />Date: 7 a'S / 2- <br />Address: <br />City. r <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: Program Record: - <br />Inspection Type:�B2p <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Rei spection on or after. <br />Other: <br />RECIRCULATION EQUIPMENT <br />❑ Filters <br />' <br />The mark la' <br />AIIAZI. 0 <br />n sent Health & Safe <br />2 <br />Code Violations <br />and must be corrected as indicated: <br />/�fo GiK to wer f <br />❑ Pumps <br />UIrG 12 GOL�i— <br />❑ Chlorinator, <br />❑ Flowmeter <br />❑ Gauges <br />Q A -/a <br />G fX <br />W4 <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />k <br />F <br />&X <br />AAkd #t3t,# 20 <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION ._ <br />❑ Pool Shell <br />[I Fencing/Gates <br />❑ Decking & Coping <br />2a <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />' <br />dAe'__ <br />ttrr �r <br />vvi <br />El Rescue Pole <br />(� <br />a, ^iQ <br />�h A.� f , Q / <br />.�s- <br />/ <br />3 u^ <br />El Life Life Ring <br />❑ Safety Signs <br />C <br />K �% h _/, <br />/ _ <br />f <br />❑ Lifeguard <br />E]Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth MarkersMles <br />Q <br />/f 0 Kc -F2 <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />y <br />(L l a <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 />Effluent: <br />Time In: <br />Reec ivad By: <br />Inspected by: <br />"Qi D3�,�' <br />Time Out: <br />EHD 36-01 5-8-12 SWIMMING POOL OR Page of <br />t <br />