Laserfiche WebLink
e ..n. SAN JOAQUIN COUNTY <br />EN RONMENTAL HEALTH DEPART -NT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Date: j D <br />Address: <br />City: <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: Program Record: <br />Inspection Type: g (6 <br />Flow Rate (gpm ): pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspection on or after. <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety <br />Code Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />) _ �j444-1_ <br />�(,L�n� <br />�l«'J <br />�Hn .ffi„'D <br />wiccwrt� <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION. <br />❑ Pool Shell <br />❑ Fencing/Gates <br />ill <br />i <br />or die._ �. E f -f <br />❑ Decking & Coping <br />❑ Wade Pool — 2 Main Drains <br />.: SAF ETYEQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />42 t2 <br />low -44 <br />❑ Lifeguard <br />I�riO <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 QUACITY�"°T'�"'-" <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: <br />R <br />y: <br />-- <br />inspected by: <br />oa An,,, <br />/// ��� """"""'444"'"""LLL <br />Time Out: <br />EHD 36-017-31-09 SWIMMING POOL OR Page of J _ <br />