|
••53, SAN JOAQUIN COUNTY
<br />JMENTAL HEALTH DEPARTN,_
<br />1868 East HazeIton 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: -,4... .4,;Z)r7e..,",...5r., 7),-,-,,(..).,?,_, ,4j ,ate:
<br />Address: c?c0/ /27-.1-7714.17) City: /22.:-,,,j „,(7.2.- Zip Code: _.9.-5-3.3 --
<br />/ Owner/Operator: Telephone: 9_,/
<br />Program Element.,,,tr4 ram Record: "---4:27c---07/.) -,:--,?_7Ro? Inspection Type.z . 2"- C7'M Flow Rate (gpm): pH: Chl rine (ppm): anuric Acid (pp 3{ Temp: Reinspection on or after:
<br />Other:
<br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />• Filters
<br />• Pumps . 4 --____,„,,.„., 7,c--- 6-/- -- -K-z-- /-, ,,,,/ • Chlorinator
<br />• Flowmeter _
<br />K: '•-i---/ ,9- - B,:,Q-;-- . Gauges
<br />7z..-• ")--"A:1)----- A" ---,</, - '9 r ', 0 , - - .-, - -, - -j - - -/ ( -- - ) , Z ---C" --__Z • Skimmer & Gutters
<br />MI Back Flow Prevention
<br />7'5'V 71/ 4 C 2A-•-,' ... . , ' i ' 4 ik- - ', . • Main Drain Cover ,
<br />,--..-Z-.-72------ Z'-'>/-Ar/,__2.--- • Equalizer Line Cover
<br />CONSTRUCTION
<br />E Pool Shell
<br />CW f'-) G7%.77 —5,---- M Fencing/Gates
<br />• Decking & Coping
<br /><7.- 0/2 7. • C:b'-79/7-) -7(>--/g-;-7 MI Wade Pool -2 Main Drains _.e..".6,-22,22%'..--.
<br />SAFETY EQUIPMENT
<br />• Rescue Pole
<br />• Life Ring
<br />• Safety Signs
<br />• Lifeguard
<br />M 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 />• pH
<br />• Cyanuric Acid
<br />• Clarity
<br />• Test Kits
<br />MISCELLANEOUS
<br />• Supervision & Control
<br />• General Sanitation
<br />• Algae
<br />Influent:
<br />Effluent:
<br />---
<br />Time In: 4? P ..7,„ O g -' :d By: I d b y :
<br />Time Out:7', - (.2__. -..c.....
<br />EHD 36-01 5-8-12 SWIMMING POOL OIR
<br />
<br />Page ,),{7
|