Laserfiche WebLink
p4N'" SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />a: <br />600 East Main Street, Stockton, CA 95202-3029 <br />�... ; Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />9CiFO R(a <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Date: ''j <br />Address: afirl City: Zip Code: T5 1-10 <br />Owner/Operator: j�.rt Telephone: 'j 3 — 02#-T <br />Program Element: Program Record: 34160 Inspection Type: Al <br />Flow Rate (gpm): <br />'JIa (ppm): <br />�CJo <br />D.0 (CC) <br />C uric Acid (ppm): <br />a1 <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />/) <br />D-l� <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />' r q O y/ r <br />/ GLtG <br />❑ Gauges <br />r <br />❑ Skimmer &Gutters. <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />Z /r _ /f <br />L0' Wit6' <br />^ I ' <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & CopiAL <br />ng <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 />❑ 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 />t 7 7- i� <br />Influent: eb P 5 �' <br />PEffluent:13 sI <br />- l / 2 L(� <br />/9 <br />Time In: Qtr 190 <br />Received By: inspected by: <br />Time Out: D ; <br />L <br />EHD 36-0105-29-2007 v Page L of L <br />