Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> Er 90NMENTAL HEALTH DEPART -NT <br /> 1868 Lest Hazelton Avenue, Stockton, CA 95 .,0-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> � FORS <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: ) O Date: <br /> Address: -xse City: Zip Code: nirS <br /> Owner/Operator: Telephone: <br /> Program Element: l' Program Record: � 1 0 Inspection Type: - `' <br /> Flow Rate(gpm): p : Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinsp ction on or after: <br /> 7 ^ Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters dt �j <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter Q <br /> El Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention t <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover F� <br /> "s= CONSTRUCTION a-. a 444,141—) <br /> ❑ Pool Shell ^� �( <br /> ❑ Fencing/Gates 3 <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains / <br /> SAFETY EOUIPMENT." O l�J V <br /> ❑ Rescue Pole 3 b <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch TI <br /> RESTROOMS ?+`G-;`: <br /> �� • /b <br /> ❑ Showers ofa&a h) - <br /> ❑ Toilet&Dressing /n <br /> ❑ Ventilation uL <br /> WATER'QUALITY=.. s;- <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> . MISCELLANEOUS . .,ft:,4. <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Time In: 3 Re 1v B ns a ed by: <br /> Effluent: �['� �/ <br /> Time Out: , IJ /� 33 <br /> J <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page 4-of 1 <br />