Laserfiche WebLink
P...16.. SAN JOAQUIN COUNTY <br />EN' ONMENTAL HEALTH DEPARTN, .T <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />o Telephone: (209) 468-3420 Fax. (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: L,(\G Date: <br />Address: city: Zip Code: Gt 'S 3 3 <br />Owner/Operator. <br />RwQ Telephone: <br />\—q -we <br />Program Element: 310 Program Record: 0 Q Inspection Type: �`�r-Azl, <br />Flow Rate (gpm): <br />pH:'Chlorine <br />-4•6pQ /5.0 <br />(ppm): <br />-C �-b <br />C C 0.0 <br />Cyanuric Acid (ppm): <br />QO <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetCode Violations and must becorrected asindicated: <br />❑ Filters <br />\ —T� <br />_- _ <br />❑ Pumps <br />k <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />-- <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />-:. SAFETY EQUIPMENT" <br />Rescue Pole <br />Life Ring <br />_❑ <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 />- - -- <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: 12. <br />Effluent: <br />Time In:`2'2Ao <br />eceived By: <br />Inspected by: <br />1L L� fl �1afe5 <br />Time Out: ' <br />EHD 36-015-8-12 SWIMMING POOL OIR ' V��5v�21 C�-CPage _of_ <br />