Laserfiche WebLink
Pay.+n. SAN JOAQUIN COUNTY <br />ENV )NMENTAL HEALTH DEPARTM T <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: _ Date: / <br />Address: 1,4yL y, City: Zip Code: <br />Owner/Operator: S Telephone: <br />Program Element: Program Record: Inspection Type: " <br />Flow Rate (gpm): <br />I I <br />pH: _ <br />Chlo,� ne(ppm <br />DaLGG <br />Cyanuric Ai�l (ppm): <br />If 1 <br />3 v h <br />Temp: <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 />Ot <br />_ _ <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeters <br />VwJ IiWt.Y1 f <br />❑ Gauges <br />M4 y) W a4, -J -d <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />,/ <br />M( <br />El Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Cates <br />❑ Decking & Coping <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 />-- <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />--RE.STROOMS <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 />- - <br />❑ General Sanitation <br />❑ Algae <br />q <br />Influent: l—'p <br />OOU <br />Effluent: I <br />n y j L 1 O <br />O .M' V�=� �� �' 4 �lAr1 .,V�'vL ✓1.0.� V v w"�(�t-V"�'r' <br />Time In: <br />Recei ed ByaInspected <br />by: <br />/"p'K,/r'`"1.� <br />Time Out: <br />) �! <br />EHD 36-01 5-6-12 SWIMMING POOL OR 12-! 3 p <br />Page <br />