Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Rock Barn Outdoor Pool 500015 08 08 17.pdf
18 CatawbaN.C. DepartmentofEnvironmentandNaturalResources DemeritScore: HealthDepartmentDivisionofEnvironmentalHealth 2018500015DateofInsp/Chg:// 08082017 CurrentFacilityIDInspectionofSwimmingPool StatusCode: Old FacilityID Watersampletakentoday? WaterSupply:InspectionMunicipal/CommunityOn-SiteSupply Name Change NoYes Re-inspection VerificationofClosureWastewater: Municipal/CommunityOn-SiteSystem Visit StatusChange JIMROCKBARNOUTDOORPOOLNameofEstablishment: PoolOperator: F, L) SHUMATE 3805GOLFDRNE3791CLUBHOUSEDRLocationAddress: MailingAddr. CONOVER CONOVERNC2861328613State: NC State: City:Zip:City:Zip: Points Indicates criticalitem (6-point demerit) Deducted Comments: Check) WATER QUALITY: (.2535) 1. Water clearenoughtoclearlyseebottom ofpoolandpooldrain ……….. SEECOMMENTSHEET ATTACHED ** 2. Disinfectant residual provided by: 20freechlorine = (atleast1.0ppmor2.0ppmwhererequired); bromine = (atleast2.0 ppm); or biguanide = (30to50ppm………………………………….. 3. PoolwaterpH = (7.2to7.8)…………...………………………… 76 4. Watertemperature ofheatedpool °F; doesnotexceed 90°F swimming pool) or 104°F (spa) …………………………………………… 5. Dailywrittenrecords ofwaterqualityandtestkitkeptonsite ...…………… POOLMAINTENANCE: 6. Maindraincovers securedandingoodrepair, nosuctionhazard. Single drainsprotectedbyApril1, 2006 (.2537, .2539)…………………………… 7. Pool wallsandfloor keptclean, freeofdebrisandingoodrepair (.2537)… 8. Surfaceskimmers (withweirs, basketsandcovers) orguttersclean, ingood repair, andfunctioning properly, nofloatingdebris (.2518, .2537) ………….. 9. Depthmarkingsandnodivingmarkersorsignsvisibleandproperlylocated 2523, .2537)…………………………………………………………………… 10. Safetyropes withfloatsandcontrastingcolorbandsprovided atshallow area breakpoints (.2515, .2523)……………………………………………………... 11. Divingequipment, ladders, stepsandhandrailsproperlyplaced, ingoodrepair 2517, .2521)…………………………………………………………………. 12. Inletsandotherfittingsin placeandingoodrepair (.2537)…………………… 13. Contrasting bandonstepsandbenches (.2521, .2516, .2532)…………………. 14. Spatimerworkingproperly (.2537)……………………………………………. PREMISES: 15. Bodyhookandringbuoywith throwrope orlifeguardwithrescuetube providedand properlylocated (.2530, .2537) ………………………………. 16. Fenceorbarrierwithself-closing, self-latchinggatesproperlyconstructed and maintained (.2528, .2537) …………………………………………………….. 17. Decksunobstructed, properly drained, freeoftriphazards (.2522, .2537……… 18. Lifeguardspresentor warning signs posted (.2530) …………………………… 19. Signsprohibit glasscontainersorpetsin poolarea(.2530) ……………………. 20. Cautionsignsposted athotwater spas (.2532) ………………………………… 21. Pool anddecklightingprovidedatpoolsthatoperate atnight (.2524, .2537) … 22. Emergencytelephone provided (.2530) ………………………………………. EQUIPMENTROOM: 23. Chlorineorbromine automaticfeeders thatmeet NSFStandard50 (.2535) ….. 24. Approved pump, filter, andflow meteroperatingproperly (2518, .2519) …….. 25. Equipment andchemicalskeptin adry, well-ventilated enclosure (.2533, .2534, 2537) ……………………………………………………………………………. 26. Valvesand pipesidentified bycolorcodes or labels (.2518) …………………… 27. Filterbackwash discharged through an airgap (.2513) ……………………….… DRESSING ANDSANITARYFACILITIES: CommentSheetAttached28. Bathhouseorrestrooms accessible; showersignposted (.2526) ………………. 29. Required fixtures provided, clean, andingoodrepair (.2526) …………………. YesNo30. Approved watersource, nocrossconnections (.2512) …………………………. ReportReceivedby: 31. Sewage disposedof inaproperly operatingsewagesystem (.2513) ………….… 32. Floorssmooth, slip-resistant, kept clean(.2526) ………………………………… 33. Hosebibbs andfloor drainsprovided (.2526) ………………………………….. Inspection 2031 - Levin, PaigeEHSI.D. # Conductedby: Purpose: GeneralStatute130A-282requirestheCommission forHealthServicestoadoptrulesgoverningPublic SwimmingPools. 15ANCAC 18A .2511specifiesthecontentsofaninspectionformtorecordtheresultsof inspections. Thisformisdeveloped tobeusedinmakinginspectionsofpublicswimming pools, spas, wadingpools andwater recreationattractions. Preparation: Localenvironmentalhealthspecialistsshallcompletetheform every timetheyconduct aninspection. Prepareanoriginalandtwocopiesfor: 1. Originaltobeleftwiththeresponsibleperson. 2. Copyforthelocalhealthdepartment. 3. CopyfortheEnvironmental HealthServicesSection, DivisionofEnvironmentalHealth. Disposition: Thisformmaybedestroyed inaccordancewithStandard-8.B.6., Inspection Records, ofthe RecordsDisposition Schedule publishedbytheN.C. DivisionofArchivesand History. Additionalformsmaybeordered from: Division ofEnvironmental Health, 1632MailServiceCenter, Raleigh, NC27699-1630. EHS3960 (Revised07/05) EnvironmentalHealthServicesSection (Review07/08) amROCKBARNOUTDOORPOOLN.C. Department ofEnvironmentandNaturalResources Name: TimeIn: 0127 pm Division ofEnvironmental Health amID: 2018500015 TimeOut: 235 pm Street: 3805GOLFDRNE 1 hr8minutesTotalTime: COMMENT ADDENDUM City: CONOVER Depthmarkers arenotondeck atproper intervals. Must beevery25feet. N.C. DepartmentofEnvironmentandNaturalResourses Name: ROCK BARNOUTDOORPOOL Division ofEnvironmental Health ID: 2018500015 Street: 3805GOLFDRNE COMMENT ADDENDUM City: CONOVER N.C. DepartmentofEnvironmentandNaturalResourses Name: ROCK BARNOUTDOORPOOL Division ofEnvironmental Health ID: 2018500015 Street: 3805GOLFDRNE COMMENT ADDENDUM City: CONOVER GeneralComments: