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Home My WebLink AboutRed Roof Inn 12/31/2014Commonwealth of Massachusetts Town of Mansfield Town of Mansfield 6 Park Row Mansfield, MA 02048 Board of Health [�Pe:r�mito Operatea Swimming Pool PERMIT NUMBER: 10 Pool/SPA Certification Date: June 09, 2010 PERMIT EXPIRES: December 31, 2014 Pool/SPA Certification Expires: June 09, 2015 Person Certified: KELLY GIL Pool/SPA Certification Date: Pool/Spa Certification Expires: Person Certified: In accordance with the provisions of Chapter 111. Section 127A of the Massachusetts General Law, and Regulations established by the Massachusetts Department of Public Health (105 CMR 435.00), permit is hereby issued to: FMW RRI NC LLC #10274 for the operation of a ❑ Public at: Method of water treatment is W Semi -Public 60 FORBES BLVD. AUTOMATIC CHLORINE Bathing load not to exceed: 55 bathers Number of Lifeguards required at all times the pool is open is: "NO LIFEGUARD ON DUTY" sign is required. Scott Leite, Health .Agent ❑ Special Purpose Pool None r Date Issued TOWN OF 1VIANS�'IELD, BOARD OF HEALTH SIX PARK ROW, MANSFIELD 02048 SWIMMING POOL APPLICATION Name of Owner: Red Roof Inn, LLC. # 10274 Address: The Red Roof Building, 605 S. Front Street City: Columbus State: OH Zip:43215 Telephone: 508-339-2323 Fax: 508-337-6733 Fed ID/SS No.: 31-1393666 Pool Location: 60 Forbes Blvd., Mansfield, MA 02048 Type/pool: Concrete in -ground Length: 40' Width: 20' Min/Max. depth: 3' to 8' Swim Area: 800 Sq. Ft. Dive Area: None Water Source: Town W/W Disposal: Town Sewer Type of Finish: Gunite Scum Gutter: None Deck Type: None Skmmr weir length: 2 baskets Treatment System: Diatomaceous Disinfect Method: Automated Chlorne Chemical Treatment: Manually as required No. of Bathers: 55 Remarks: No Life Guard On Duty sign Permit No.: +1 C� Fee per pool: Volume: 22,000 Permit Expires December 31St yearly SIGNAT DATE: Please make appropriate changes. Sign, date and enclose checkfor $75.00 payable to Town of Mansfield. Mail to: Board of Health, Town of Mansfield, Six Park Row, Mansfield, MA 02048. C:\Users\i0274\Dowments\Poo1\2014 RRI 274 SWINOflNG POOL APPAOe MMT�A&b NAME OF CITY OR TOWN STATE SANITARY CODE: CHAPTER V, MINIMUM STANDARDS FOR SWIMMING POOLS, 105 CMR 435.000 SWIMMING POOL INSPECTION REPORT TYPF. OF POOL- PTTRLTC ❑ SEMI-PUBLIC SPECIAL PURPOSE POOL ❑ NAME OF POOL ADDRESS OWNER ADDRESS DATE OFe POOL CAPACITY INSPECTED BY INSPECTION ;,�J �7 # OF GALS METHOD OF WATER i BATHER # OF LIFEGUARDS WATER SOURCE TREATMENT LOAD Regulation 105 CMR 435.000 The items marked below with an "X" indicate the violated provisions of 105 CMR 435.000. Items marked with a "✓" are satisfactory. REGULATION X/✓ VIOLATIONS/COMMENTS .03 Bathhouse and sanitary facilities adequate lighting; ventilation; sanitary condition. .03 Adequate enclosure around pool. Gate self -latching w/ latch 4 ft above ground. .04 Sewage Disposal .05 Location, structural stability, finish. .06 Water circulaticXgpm. ation systems. Filter Effluent flow meter reading: # of turnovers .06 Suitable automatic equipment for disinfection of pool water. .06 Carbon dioxide (CO2) equipment for pH control adequate. CO2 cylinders anchored. Inaccessible to public, adequate ventilation provided. .08 Inlets and outlets - Inlets located to produce uniform circulation. Over rim fill spout 6" above maximum water level. Properly shielded and located. .08 Main drain suction outlets covered with suitable protective covers or grates. Cannot be removed without the use of tools. Open area does not provide entrapment of fingers, toes, etc. At.least one antivortex drain provided. .08 Each system outlet protected against user entrapment by antivortex cover or other means. Minimum of 2 suction outlets provided for each pump, properly located and plumbed. .08 Suction outlet covers in place, unbroken and secure and cannot be removed except with the use of tools. Close pool immediately if outlet covers missing, broken, loose or can be removed without tools until repairs can be made. .08 Special purpose pool and wading pools equipped with emergency shut off pump switch. Accessible and prominently marked. .09 Cross connections. Portable water supplied through air gap.. .10 Skimming facilities. 50% of recirculation drawn from surface of pool. .12 Line with floats separates non -swimmer area from deeper water. .12 Water depth markings on deck and walls. Properly spaced. Boundary line on pool floor and walls. Step edges marked with contrasting color. .13 Walkway and decks 4 feet wide, safe condition. .14 Ladders, steps - one per 75 feet. Not less than 2 ladders. .15 Diving equipment in safe condition. .17 Pool supervision - Pool supervision provided. Effective Jan. 1, 1999, pool supervisor certified as pool operator from YMCA or NSPF. .21 Permit requirements - Permit issued. Adequate maintenance and testing records maintained. Records initialed by person making tests. .22 Health regulations: Signs posted. Health warning signs posted for special purpose pools. .23 Lifeguards required: Yes ❑ No If lifeguards required. Proper credentials, proper suits and garments worn. Whistle and bullhorn provided .24 Safety equipment. Ring buoys and rescue hook provided. Rescue tube and backboard with straps at pools attended by a lifeguard. .25 First Aid equipment provided. .25 Emergency Communication System at the pool and in working order. Emergency communication device in unlocked area and available at all times to staff and the public. Operating instructions and emergency numbers posted. .26 Waste and backwash water disposal properly discharged. No direct connection to sewer system. Separation tank provided for diatomaceous earth filter backwash water. .29 Chemical standards POOLSIDE READINGS rBromine 1 (2.0-6.0 ppm Cyanuric Acid Water Temp. 104°F. *parts per million .29 Pool water tested with appropriate frequency. .30 Water testing equipment. DPD kit provided for chlorine and bromine. Unbreakable thermometer for special purpose pools. .31 Water clarity .32 Water clarity maintenance. Filtration system operating continuously. .32 Special purpose pool drained, cleaned and every 14 days. Maximum Operating Temperatures for Special Purpose Pools. (SPP). .33 a. Thermostatic control provided for each SPP. b. Thermostatic control only accessible to the pool operator .38 General sanitation M Total Chlorine Free Chlorine Comb. Chlorine REGULATION NO, I THE SPACE BELOW DESCRIBES VIOLATIONS MARKED ABOVE .34 Closure of the pool. POOL MUST BE CLOSED UNTIL IT 105 CMR 435.29 THROUGH 435.31. SIGNED 17 Aerator THE STANDARDS OF Board ofTrealth/Health Department