Laserfiche WebLink
�pg4.!N SAN JOAQUIN COUNTY <br /> ENVIrNJNMENTAL HEALTH DEPARTMEIN i <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> 9Gl FORA <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: " City: Zip Code: S <br /> Owner/Operator: Telephone: VA 7 — as J _ <br /> Program Element: 3(pff Program Record: Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspec n on or after: <br /> -7, I o. b CL C n�� other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health &Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinato <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters I1 <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> J <br /> E] 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 Signs <br /> ❑ Lifeguard © <br /> ❑ 1_Pool/Deck Lighting a /� <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: � ly <br /> Time In: Received By: Insp ed by: <br /> Effluent: / ¢ Time Out: e <br /> EHD 36-01 7-18-08 SWIMMING POOL OR <br />