|
r..4 V f•ii
<br />••ci
<br />SAN JOAQUIN COUNTY
<br />EN\ ONMENTAL HEALTH DEPARTN. .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:i---\\im \ 30 \a_ L.„-2...... Date:
<br />Address: k, C1,1-±) 0 c-.),(A,Ar-\50,._kf__ City: f\i\o-{-\c- Zip Code: 9 5 s s v)
<br />Owner/Operator: (..-\-34,7\t. .,(--•\ cc e ,i_ L-Lc. Telephone: te... i -s-- _ 9 k-i 0 , Program Element: r... I k Program Record: ,.. koeCci ci Inspection Type: \2<:),,, 4. ') ,-..v.....
<br />Flow Rate (gpm):
<br />(•ei c--
<br />pH:
<br />-1-- - 8
<br />Chlorine (ppm):
<br />1 C Li.%
<br />Cyanuric Acid (ppm):
<br />.....-Tho
<br />Temp: Reinspection on or after:
<br />Other:
<br />RECIRCULATION EQUIPMENT ,Thp marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />• Filters (..)
<br />" 1----47- --PN) r•c.:,4 k-N-•--,`,(\_.9 Pumps „S •
<br />)t..-Q.,) -C--,-( -\-A-e_ , N - Q . c2-caf,,,Z . lo, I v.re_ek e c),, . • Chlorinator
<br />II Flowmeter
<br />\. .71-e., fiGVC c,e,--i90,--r_,-,--1-1/4., S i rt -ear-9--z_ --A-- L.2_ 5 ic, • Gauges
<br />-c=k k \ oil ._(-. (
<br />• Skimmer & Gutters
<br />• Back Flow Prevention /
<br />No 9-1)-Z- A' 1'D-12_ "CA ...e-\* C --C---o-d,,p.n, c".(N.c,j -{-1_<_, IN Main Drain Cover
<br /> -Gk;\.' 's 1 f•\ ec2jo-z- -k-i-e_ c7-tc9-eL,-Q-ez • Equalizer Line Cover
<br />CONSTRUCTION
<br />t.--=1 k ‘ syi , .Q.),-..:\ ks2_ -\---\--42-7 • Pool Shell
<br />''--') 7 Ve.. ” VQQ,/, C L3)...-ce-fi II Fencing/Gates
<br />• Decking & Coping
<br />c__0\s----...s4 L--,,) oi‘r—c-, i--1-4_,--._ OtS4-f. • V-sasze --\--Le Wade Pool -2 Main Drains c
<br />%. v....0.c12
<br />C ,_---)..& Sffi v. S i c_ 0 ‘.) .t Sx t-)k-Q, ci-A-- c----Q-Q. SAFETY EQUIPMENT
<br />. Rescue Pole 1/4J
<br />-V\ (1-41-2 e • • Life Ring
<br />II Safety Signs
<br />M Lifeguard
<br />• Pool/Deck Lighting
<br />IN Ladders/Hand Rails
<br />• Depth Markers/Tiles
<br />• First Aid Kits
<br />• Emergency Shut-off Switch
<br />RESTROOMS
<br />• Showers
<br />E Toilet & Dressing
<br />Ventilation
<br />WATER QUALITY
<br />• Chlorine
<br />• pH
<br />II Cyanuric Acid
<br />• Clarity
<br />LII Test Kits
<br />MISCELLANEOUS
<br />• Supervision & Control
<br />M General Sanitation
<br />• Algae
<br />Influent: . t
<br />2_
<br />Timeln:
<br />R ceiv - .ed By:
<br />.
<br />
<br />Inspected by:
<br />(--- 0‘ ( heS , ) f\
<br />Time Out: vq00151 C\ / \i/A/ A \iu
<br />Effluent: - / I
<br />EHD 36-01 5-8-12 SWIMMING POOL OIR
<br />$.02a- (oct 32. Page 1 of
|