Laserfiche WebLink
P.v.In. SAN JOAQUIN COUNTY <br />`= Er"RONMENTAL HEALTH DEPART- NT <br />1868 _st Hazelton Avenue, Stockton, CA 952u,)-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sigov.org/ehd <br />SWIMMING POOL O-FFICIAL INSPECTION REPOF3T a <br />Name of Facility: ) <br />Date: <br />Address: U <br />iry: <br />Zip Code: <br />.33 <br />Owner/Operator: <br />Telephone: V3 <br />Program Element: Program Rec rd: <br />Inspection Type: <br />Flow Rate (gpm): pH:/C-hlo <br />. <br />'ne (ppm): <br />D �� <br />on <br />yanuric Acid (ppm): <br />9a <br />Temp: o <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 K. <br />Jr, <br />❑ Pumps - <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />C� <br />q( <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />' CONSTRUCT16N <br />ftY�Kl <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />C <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting1.3• <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 N,/ <br />❑Cyanuric Acid <br />d20 <br />S, <br />r <br />s <br />❑ Clarity <br />ElTest Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />` <br />0-111&F�AK24 <br />419 <br />It -® <br />❑ General Sanitation <br />❑ Algae <br />2 <br />Influent: 19 <br />n <br />Effluent: <br />1V <br />�{ p <br />Time In: rr <br />Receiv y <br />spe ted <br />X <br />by: <br />.� <br />Time out: <br />2 <br />X36.015-8-12 SWIMMING POOL OIR Y ` Page of --L— <br />