Laserfiche WebLink
o 90 SAN JOAQUIN COUNTY <br /> 1.0 <br /> EN,�AONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3`d Floor, Stockton,CA 95202-2708 <br /> • c.., �c• Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> 4��FoR�i <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: ate: <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: Z mot' <br /> Program Element: Program Record: Q 3` Q _Z Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Tema_ Reinspection on or after: <br /> 7- Other: <br /> v e v �— <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Cod Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator 7 <br /> ❑ Fl wmeter <br /> Gauges 7i <br /> El Skimmer&Gutters G( <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover ate <br /> ❑ Equalizer Line Cover 4h , 7 l ! 7.7 L G <br /> CONSTRUCTION <br /> ❑ Pool Shell f4 <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping or <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT C. _ D .`w ` Ole <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> EV Pool/Deck Li <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: 2 I <br /> Z Time In: , lt/ Received By: In to y: <br /> Effluent 3 l 0 <br /> Time Out: -lam, <br /> EHD 36-01 5/26/05 Page_of <br />