Laserfiche WebLink
n. SAN JOAQUIN COUNTY <br /> ` EN,-.,ONMENTAL HEALTH DEPARTN. .JT <br /> TelephgQe:,(209)468-34210 �2�9)468 8 Ir��i� owvyv gov.org/e�hd Cis <br /> SWI MMI <br /> IAL 11 S�JP�EC�T10.N �R6gE (YLO <br /> Name of Facility: Date: <br /> Address: o� A4141V City: y\, Zip Code:/ ^ <br /> Owner/Operator: &14 Telephone: <br /> Program Element Progra ecord: J Inspection Type: ITr <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after. <br /> Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters �� L <br /> El _ Vr 1j <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> N� 0 Ran& ally+-I <br /> ❑ Decking&Coping „/ IF <br /> ❑ Wade Pool-2 Main Drains tl/� <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/riles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> .:MISCELLANEOUS <br /> ❑ <br /> Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Time ln: ' ,c e!y�d By:,p ,� Insp It by: <br /> Effluent: Time Out: a, 15 /VI A'tJ(. <br /> MML <br /> EHO 36-017-31-09 SWIMMING POOL OR Page of� <br />