|
<br />SAN JOAQUIN COUNTY
<br />IONMENTAL HEALTH DEPART I , \IT
<br />1868 East Hazelton Avenue, Stockton, CA 95205-6232
<br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd
<br />SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />qr. to
<br />
<br />Name of Facility: (NI cA-Ire ,r.ci.. <1 -- /7,1--> . 2.hz( {-1"... Date:
<br />Address: Ct;63C AA cke(MQ-C'S 40 r • C City: e..;, ,...x . _ c4.6 Zip Code: q c 2.1c
<br />Telephone: 7-5 7,-......:, Owner/Operator: 9.5 -e r G--e (4.. Sc \--c---f-sz‘--- 1) I- c 161'' Program Element:----K,) ( 1 -2_- Program Record: (:)-3c,ci.1, (.:2 DC,
<br />
<br />Cyanuric Pii (ppm):
<br />6 tb 11 Inspection Type:
<br />Flow Rat 9 (gpm): pH: Chlorine (ppm):
<br />-__>.____________,
<br />>-1 oo
<br />Temp: Reinspection on or after:
<br />Other:
<br />cc_
<br />REciRcuLATIoN EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />Filters _..g..., .....,-1,0
<br />Pumps ,--
<br />CD T.L.Q. j cAliq -_( c_ 6t..c:_(:
<br />,
<br />k:?._ „el is c...)c.) • . GNI Chlorinat
<br />LI Flowmete - .
<br />yv tr-vk.q1,-‘, fas.Lj_(,,,,_Q.se„. Qv vvvq,..c c4:4-CA A vce- -I • Gauges ..1
<br /> )c:_) • Skimmer & Gutters
<br />Back Flow Prevention . ,
<br />-rt 1 > 5 LS • Main Drain Cover (Z) 12._ e ,-....e-r- R.-. c.- („St-k. /cdvc_ice k3
<br />LI
<br />
<br />1 1
<br />A-C_ : 1 k? VI, 4 i.v,__I, _ c.v.,- & C- cl---1r:SS PM1 v i d.,..., Equalizer Line Cover
<br />— CONSTRUCTION
<br />Off -- C C.... C reed a .c--- iNec.,-.) 5-k_51-. s ,--,, f , • Pool Shell
<br />- 61,4z_ 5 svIA ...".._04-- -P s=,c,...A---- cs.5-, So-r-vt.. k
<br />
<br />...1...) LI Fencing/Gates
<br />Eli Decking & Coping .. .,
<br />LII Wade Pool -2 Main Drains c.C4.-',..)cci-- . Prz v -c4.._ f\s2- (3,-1 • _....." SAFETY EQUIPMENT
<br />LII Rescue Pole — LI Life Ring
<br />- LI Safety Signs
<br />Lifeguard _ 1
<br />(-4 -afl_LLI- ( C CAC ( 6 ., I -Pt/ a ( - ) 5 +00 A jct., LI Pool/Deck Lighting
<br />Ladders/Hand Rails P-ac.-_k -‘,...c.C.L- av•-____. otk.c.L..( kt-tk (e:\- :)Irc....c.-- J ic--X-DFP.-k Depth Markers/Tiles
<br />LI First Aid Kits
<br />LI Emergency Shut-off Switch
<br />RESTROOMS
<br />LI Showers
<br />ElI Toilet & Dressing
<br />LI Ventilation
<br />WATER QUALITY
<br />LI Chlorine
<br />pH
<br />• Cyanuric Acid
<br />• Clarity
<br />LI Test Kits
<br />MISCELLANEOUS
<br />LI Supervision & Control
<br />fl General Sanitation
<br />• Algae
<br />Ci 5t7-9 Influent:
<br />Effluent: f C(
<br />.,.
<br />Time In: I El)! -/''''
<br />Rec ived By: Inspected by:
<br />Time Out: ( 1 ( ( ENj
<br />EHD 36-01 5-8-12 SWIMMING POOL OIR
<br /> Page of
|