Laserfiche WebLink
Op4�.l,N SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> • 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> cq�,FOR�i�P Telephone:(209)468-3420 Fax: (209)468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: , 14 Date: -20/2- <br /> Address: <br /> 202- <br /> Address: City: Zip Code: �~ <br /> Owner/Operator: 0 Telephone: <br /> Program Element:` // Z Program Record: 36 Q 6(q ,0Inspection Type: <br /> Flow Rate(gpn� p�} �,hlor(i�e(pp� y�,n`ur�Acid(pp ): Temp: �.-� Reinspection on or after: <br /> 1( ' ""T , I,Yv^ 7 Other: <br /> v 7. l� C, .6-cc SV -7U <br /> RECIRCULATION EQUIPMENT The marked violations represent Health &Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeterti <br /> ❑ Gauges 'h <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention ✓�+1 <br /> ❑ Main Drain Cover u <br /> ❑ Equalizer Line Cover �- <br /> CONSTRUCTION <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 Signsuj <br /> ❑ Lifeguard <br /> s-C ,�'1 _�✓��'�'�� <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails / L <br /> ❑ Depth Markers[Tiles U (r r <br /> t <br /> ElFirst Aid Kits / '2' <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation u/ <br /> WATER QUALITY /LC(-� ' ✓C `�( <br /> ❑ Chlorine <br /> E:1 pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision &Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> U <br /> Influent: /(0 (� <br /> l=� ( Time In: � eceived By: � Ins cted by: <br /> S� <br /> Effluent: C 0 � � Time Out: U( � � / C� titi v <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page_of <br />