Laserfiche WebLink
SAN JOAQUIN COUNTY r <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ..: < <br /> 600 East Main Street, Stockton,CA 95202-3029 <br /> cq. �P• Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> C%FpR <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: "j (6 O j <br /> Address: 0 �� City: Zip Code: Q <br /> Owner/Operator: Telephon W <br /> Program Element: Program Record: Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Le Reinspection on or after: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters 3 <br /> ❑ Pumps <br /> ElChlorinator 1 - /C <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters IV S"f" ,S V <br /> ❑ Back Flow Prevention /` u <br /> El Main Drain Cover "v p <br /> ❑ Equalizer Line Cover AA <br /> CONSTRUCTION V Li <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 /> MA A4- <br /> El Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles vC/W <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> r <br /> WATER QUALITY <br /> ❑ Chlorine • <br /> ❑ pH <br /> A1210— <br /> El Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits va <br /> MISCELLANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation 1 �y 4.`t . <br /> 1a e <br /> ❑ Algae <br /> i W r <br /> Influent: <br /> Time In: Received By: Inspected by: <br /> Effluent: <br /> Time Out: <br /> v� <br /> EHD 36-01 05-29-2007 Page of <br />