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6 DEWEY DRIVE POOL INSPECTION 5-25-2022 41 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 98 WASHINGTON STREET,3RD FLOOR pPublicHedth TEL. (978) 741-1800 KIMBERLEY DRISCOLL health�?,salem.com DAN7ID GREIJNBAUM,RS MAYOR HE,uLTH Ac 1.N'f SWIMMING POOLINSPECTION REPORT -P -n en NAME. '7 DATE: I TIME IN: f9 ADDRESS: PHON ME OUT:,, CERTIFIED POOL OPERAT U Regulations 105 CMR 435.000 :Min im Standards for Swimming Pools, State Sanitary Code, Chapter V Regulation Compfiance Number Yes No Title and Description 435.03 Bathhouse: Separate sanitary dressing facilities and water closet for each sex which are well lighted,drained and ventilated- Showers with hot and cold water—Sanitary drinking water— toilet paper, soap at sink and in showers(shatter proof containers),paper towels and waste receptacle 435.06 Water Circulation and Filtration: Over-all recirculation and purification system designed recirculates and filters the entire volume as follows: • Swimming Pools—Once every eight hours • Wading Pools—Once every four hours 00 Q/ $O+ �' �' /< • Special Purpose Pools(Spas)—Once every half hour Maximum design filtration for filters: • High rate sand filter— 15 gpm/ft2 -20 gpm/ft2(NSF filters) • DE filters—2 gpm/ft2 • Cartridge filters—0.375 gpm/ft2 Automatic hypochlorinators required feed-rate capacity: • Outdoor Pools—Three pounds of chlorine per 24 hours per 10,000 gallons • Indoor Pools—One pound of chlorine per 24 hour per 15,000 gallons 435.08 /' Inlets and Outlets—All special purpose and wading pools shall install an emergency shut off V/ switch which is accessible,working and prominently marked 435.12 Water Depth Markings Marked on pool deck and on vertical pool wall. Four-inch contrasting color stripe dividing shallow and deep ends including ledges and steps 435.21 Permit Requirements and Pool Records—Permit posted in conspicuous location. Maintain initialed records including daily attendance,amounts and types of chemicals used daily, chemical and bacteriological tests, dates and times of emptying,cleaning,and back-washing and hours of cjperation of 12urification a ui ment 435.22 Health Regulations, Signs—No employee working at swimming,wading or special purpose pool _shall have a communicable disease. Operator shall enforce the following for bathers:All bathers shower before entering pool-Clean bathing suits—No communicable diseases(fever, cough, cold,inflamed eyes,nasal/ear discharge)—No open sores, skin diseases or bandages—No glass • Signage at entrance of pool enclosure or in dressing room—"All persons are required to x take a cleansing shower bath before entering the pool. No person with a communicable disease is allowed to use the pool". • Additional signage for special purpose pools—"Do not use under these conditions: Alone- Under the influence of alcohol, anticoagulants,antihistamines,vasoconstrictors, vasodilators,stimulants,hypnotics or tranquilizers—Consult physician if person is elderly,pregnant,suffers from heart disease,diabetes,high/low blood pressure—Water temperature above 104°F—Observe reasonable time limits—No oils and body lotions" Easily readable large dial clock SWLMMING POOL INSPECTION REPORT Regulations 105 CMR 435.000 Minimum Standards for Swimming Pools, State Sanitary Code,Chapter V ll NAME:- R GyC 'n , PCr k Co/1 G(O S DATE: < S Remarks,Results and Actions: Tvl)e: T e: Ty pe: Free Free Free Chlorine Chlorine Chlorine Combined Combined Combined Chlorine Chlorine Chlorine Bromine Bromine Bromine H pH pH Alkalinit i Alkalinit v Alkalinity' Calcium Calcium Calcium Type: Hardness Hardness Hardness Type: Type Pool Pool Pool Volume �f�f� 000 Volume R Volume g n Sand Sand DE Filter Type DE Filter Type DE Filter Type Cartridge Cartridge Cartridge Filter Size ft' 3FF Filter Size ft2 Filter Size ft2 Minimum Minimum Minimum Flow Rate up m Flow Rate gpm Flow Rate gpm Maximum Maximum Maximum Flow Rate gpm 13 o 5 Pv-% Flow Rate m Flow Rate gpm Actual Actual Actual Flow Rate m �' 5 P"� Flow Rate gpm Flow Rate gpin Cam. c-cA r n n ed I fc, 6 L' hi! n r �.tD &' 1n'L� 5 C: rr e s r+C e Passed Inspection: Yes A.4 o d Re-Inspection Date: S - 6 -d A Inspector's Signature: Person In Charge: