Loading...
HomeMy WebLinkAboutStation Pointe (2) 12/31/2016Commonwealth of Massachusetts Town of Mansfield Town of Mansfield 6 Park Row Mansfield, MA 02048 Board of Health Permit to Operate a Swimming Pool PERMIT NUMBER: 5 Pool/SPA Certification Date: April 20, 2012 PERMIT EXPIRES: December 31, 2016 Pool/SPA Certification Expires: April 19, 2017 Person Certified: SVETOSLAV A. KAZAKOU 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: BEACON COMMUNITIES LLC for the operation of a [I Public 0 Semi -Public [:1 Special Purpose Pool at: STATION POINTE APARTMENTS 2 - 9 FRANCIS AVENUE Method of water treatment is CHLORINE Bathing load not to exceed: 54 bathers Number of Lifeguards required at all times the pool is open is: None "NO LIFEGUARD ON DUTY" sign is required. Scott Leite, Heaah .Agent Date Issued MD Town of Mansfield - Board of Health Swimming -Pool Application NAME OF OWNER: fill( mr, �Omrmm et J r ADDRESS: ZIP: TELEPHONE�C�� FAX:f?�"t`�/j�J EMAIL: ���t(� �bl�l�►U.�CD��EU�1�COm FED IDISS NO. FEE. PER POOL: to 6 (_,: Certification Expires Every 6 Years. Permit Expires December 31stYearly. PERSONCERTIFIEV�3v9fs (1v .iWA.KoV Poo!/SPA Cortification Date; 4101wi P001/SPA Corfittcatlon Expires Ly q �� PERSON OERTIFIEn• �7 Pool/SPA Certification Dam. Pool/SPA Certification Expires, cortificMion romarks(if necessary): Town of Mansfield 6 Park Row Mansfield, MA 02048 PERMIT NUMBER FEE: $125 H Public POOL OPERATION: WSem(•Pub((c 0 Special Purpose Pool POOL LOCATION.�II�i� TYPE/POOL: "10 PON, LI:NGTII:,I��r y-.! VOLUME:(_ MINIMAX Dr-PTH:,�J'- r7 SWIM AREA; WATER SOURCE: ton WIW DIS POSAL:Awf f WIDTH: V) TYPE OF FINISH:11 U=1 SCUM GUTTER: 0A, , DECK TYPE: �,00o & , 5KMMR WEIR 4EHGTH: � i , TREATMENT SYSTEM; J DISINFECT METHOD: C� l�ntl i�Qi CHEMICAL TREATMENT: ft NUMBER OF BATHERS: DIVE AREA: n1k REMARKS: "NO LIFEGUARD ON DUTY" 51911 Is required. SIGNATURE:(�. -1d T -- — DATE; - Please make pp �opriato changes, Sign, date and enclose check payable to Town of Mansfield. Mail to; Board of Health, Town at, ansfield, Six Park Row, MansJleld, MA 17204(3. N 31 5 Lo, Town of Mansfield Town of Mansfield - Board of Health 6 Park Row Mansfield, MA 02048 Sivinuning Pool Application PERMIT NUMBER FEE: $125 NAME OF OWNER: 10 ADDRESS.' �j A CITY: STATE: ZIP, TELEPHONE: N FAX: EMAIL.` 4i Ii t It FED IDISS NO: ffr 4, FEE PER POOL Certification Expires Every 6 Years. Permit Expires December 31st Yearly. PERSON CERTIFIED. poolISPA Ceiffication Date: ' � 1- 1 PoolISPA Certification Expires PERSON CERTIFIED; lviictl,i,I Ii U poolISPA Certification Date: G poo[ISPA Ceilifloation Expires: 'f, 1,kj certification rainarks(If necessary): REMARKS: "No LIFEGUARD ON DUTY" sign is required. [] Public POOL OPERATION: MSemi-Pubf(c EB Special Purpose Pool POOL LOCATION '!! 11 I tt. Ji P", fl-IYj !,,- i, ,f "I I :'l TYPEIPOOL: WIDTH, IDTH:i VOLUME. MIN/MAX DEPTH; SWIM AREA, WATER SOURCE: WIWDISPOSAL . TYPE OF FINISH: SCUM GUTTER: DECK TYPE* SKMMRVJ0RtE9GT"*. TREATMENT SYSTEM: DISINFECT METHOD: CHEMICAL TREATMENT. 4 NUMBER OF BATHERS' f DIVE AREA Ar 6 SIGNATURE:r ji DATE: Please make appiopfiate changes. Sign, date and enclose check payable to Town Of Mansfield. Mall to: Board of Health, Town OffiAnslield, Six Park Row, Mansfield, MA 02048. I certify under the penalties of perjury that I, to my best knowledge and belief, have filed all State tax returns and paid all State taxes required under law. { Signature of Individual or r Corporate Name (Mandatory) By: C - orate Officer (Mandatory, if applicable) *" Social Security Number (Voluntary) or Federal* Identification Number * This license will nbt be Issued unless the certification clause is signed by the applicant. ** Your Social Security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment obligations. Licensees who fail to correct their non -filing or delinquency will be subject to license suspension or revocation. This request is made under the authority of Mass. General Laws, Chapter 62C, Section 49A. Ellis & Associates ILTPTM Course Completion International Life-guard TraininqPro ram TM I 1� Personal Information Last Name: First Name: Middle Name: Date of Birth: Certificate Number. 1-O��(a Ci)V-0V 1rkrj=C�rG L ;1t1 iC �l'3 j�,-;�.. 101-300-1033-2953 Mailing Address: City: State/Province: Postal Code: v.1~c��h�C�1� �J:c.�hrc3p KkA 02t52, Country: Email: Home Phone: Work Phone: Course Information ILTP Course Type: (Please Check One) Training Course Type: ❑ Shallow Lifeguard [Pool Lifeguard ❑ Special Lifeguard 0 New - Original ElRenewal I ❑with Open Water Shallow Lifeguard Pool Lifeguard Special Facilities Lifeguard Training includes conscious, unconscious and Training includes conscious, unconscious and suspected Training includes conscious,unconscious and suspected neck and back rescue skills forwater depths neck and back rescue skills for water depths not suspected neck and back rescue skills for water not to exceed 5 feet, excluding open water exceeding 16 feet -excluding open water environments. depths not exceeding 16 feet including wave pools environments. AAOSlACEP (Emergency Care & AAOS/ACEP (Emergency Care & Safety Institute- and open water environments. AADS/ACEP Safety Institute-ESCi.org) Healthcare Provider ESCLorg) Healthcare Provider CPR, AED, Oxygen (Emergency Care & Safety Institute-ESCI-org) CPR, AED, Oxygen Administration and Standard First Administration and Standard First Aid training included. Healthcare Provider CPR, AED, Oxygen Aid training included. Administration &Standard First Aid training included. Training Center of Record: City; State: ILTP - Continental Pools, Inc Savage MD Completion Date: Expiration Date: ILTPTM Course Completion Acknowledgment. I acknowledge that I have received and understand the ILTP ",1 Training Program curriculum and demonstrated said skills and knowledge to required competencies. I further understand that it is my personal responsibility to maintain my skills and knowledge demonstrated during the ILTPTM course through regular and consistent in-service training. It is also the responsibility of my employer to provide site specific orientation and in-service training prior to working as a lifeguard. I further understand and acknowledge that Ellis R Associates and/or ILTPT"' does not provide any protection whatsoever to my employer or myself. Lifeguard Name (Please Print): Lifegua i41nforf�atioj� ro ILTPT11 InstructorValid _ ion I hereby certify that the holder of this ILTP TM Course Completion Credential has successfully met all required skills competencies (including but not limited to Prerequisite screening, rescue skills, BLS Skills, written and practical exams) and curriculum requirements as prescribed by the Intemational Lifeguard Training ProgramTM for the lifeguard classification indicated above. I have also reviewed the ILTPT'" Course Completion Acknowledgment with its holder and am satisfied the card holder clearly understands said acknowledgment. Max Water Depth: ftJm updated Max Water Depth: ft/m Instructor Name: InstructorID:_ _ Date: Instructor Name (Please Print): Instructor Signature: /V i`v in For additional information regarding the International Lifeguard Training Program"N please call or write to: Jeff Ellis & Associates, Inc. Business Office, 508 Goldenmoss Loop Ocoee, FL 34761 Office: 1-800-742-8720 Facsimile: 407-654-1723 E-mail: business(ld)ieliis.com Distribution: This certificate is issued from Jeff Ellis &Associates, Inc. Corporate Headquarters, Kingwood, TX. Revised 1/2011 =r Ellis & Associates ILTPTM Course Completion International Lifeguard Trainin Pro ram TM Course Information ILTP Course Type: (Please Check On) Training Course Type: [] Shallow LifeguardPool Lifeguard [] Special Lifeguard 0 New -Original ❑with Open Water Shallow Lifeguard Training includes conscious, unconscious and suspected neck and back rescue skills forwater depths not to exceed 5 feet, excluding open water environments. AAOS/ACEP (Emergency Care & Safety Institute-ESCI.org) Healthcare Provider CPR, AED, Oxygen Administration and Standard First Aid training included. i raining center of Record: iLTP - Continental Pools, Inc Completion Date: Pool Lifecluard Training includes conscious, unconscious and suspected neck and back rescue skills for water depths not exceeding 16 feet -excluding open water environments. AADS/ACEP (Emergency Care & Safety Institute- ESCI_org) Healthcare Provider CPR, AED, Oxygen Administration and Standard First Aid training included. Special Facilities Lifeguard Training includes consdous,unconscious and suspected neck and back rescue skills for water depths not exceeding 16 feet including wave pools and open water environments. AAOS/ACEP (Emergency Care & Safety Institute-ESCLorg) Healthcare Provider CPR, AED, Oxygen Administration & Standard First Aid training included. City: State: Savage I MD Expiration Date: --ti ILTPTM Course Completion Acknowledgment I acknowledge that I have received and understand the ILTPTM Training Program curriculum and demonstrated said skills and knowledge to required competencies. i further understand that it is my personal responsibility to maintain my skills and knowledge demonstrated during the ILTPTra course through regular and consistent in-service training. It is also the responsibility of my employer to, provide site specific orientation and in-service training prior to working as a lifeguard. I further understand and acknowledge that Ellis & Associates and/or ILTPI does not provide any protection whatsoever to my employer or myself. Lifeguard Name (Please Print): Lifeguard Si nature: ILTPTM Instructor Validation Information ---- '"•••r•"`"'•• --- 1n—I „tea auk. t.p b, u„y Ier du requlreo slcflls competencies (including but not limited to Prerequisite screening, rescue skills, BLS Skills, written and practical exams) and curriculum requirements as prescribed by the International Lifeguard Training ProgramTM for the lifeguard classification indicated above. I have also reviewed the ILTPT"' Course Completion Acknowledgment with its holder and am satisfied the card holder clearly understands said acknowledgment. Max Water Depth: ft/m Updated Max Water Depth: ft/m Instructor Name: InstructorID; Date: Instructor Name (Please Print): Instructor Signature: ��(%C..�=- i V f •> - ��L'`�Y'L54�_�-1 TCS y . � For additional information regarding the International Lifeguard Training Program TM please call or write to: Jeff Ellis & Associates, Inc. Business Office, 508 Goldenmoss Loop Ocoee, FL 34761 Office: 1-800-742-8720 Facsimile: 407-654-1723 E-mail: businesslaDiellis.com Distribution: This certificate is issued from Jeff Ellis & Associates, Inc. Corporate Headquarters, Kingwood, TX. Revised 1/2011 Personal Information Last Name: rte` First Name: Middle Name: Date of Birth: Certificate Number: aiMailing a 06 � ci%hi�'_ 101-300-1033-2956 Address: _ City: =State/Province: Postal Code: Country: Email: Home Phone: Work Phone: r Course Information ILTP Course Type: (Please Check On) Training Course Type: [] Shallow LifeguardPool Lifeguard [] Special Lifeguard 0 New -Original ❑with Open Water Shallow Lifeguard Training includes conscious, unconscious and suspected neck and back rescue skills forwater depths not to exceed 5 feet, excluding open water environments. AAOS/ACEP (Emergency Care & Safety Institute-ESCI.org) Healthcare Provider CPR, AED, Oxygen Administration and Standard First Aid training included. i raining center of Record: iLTP - Continental Pools, Inc Completion Date: Pool Lifecluard Training includes conscious, unconscious and suspected neck and back rescue skills for water depths not exceeding 16 feet -excluding open water environments. AADS/ACEP (Emergency Care & Safety Institute- ESCI_org) Healthcare Provider CPR, AED, Oxygen Administration and Standard First Aid training included. Special Facilities Lifeguard Training includes consdous,unconscious and suspected neck and back rescue skills for water depths not exceeding 16 feet including wave pools and open water environments. AAOS/ACEP (Emergency Care & Safety Institute-ESCLorg) Healthcare Provider CPR, AED, Oxygen Administration & Standard First Aid training included. City: State: Savage I MD Expiration Date: --ti ILTPTM Course Completion Acknowledgment I acknowledge that I have received and understand the ILTPTM Training Program curriculum and demonstrated said skills and knowledge to required competencies. i further understand that it is my personal responsibility to maintain my skills and knowledge demonstrated during the ILTPTra course through regular and consistent in-service training. It is also the responsibility of my employer to, provide site specific orientation and in-service training prior to working as a lifeguard. I further understand and acknowledge that Ellis & Associates and/or ILTPI does not provide any protection whatsoever to my employer or myself. Lifeguard Name (Please Print): Lifeguard Si nature: ILTPTM Instructor Validation Information ---- '"•••r•"`"'•• --- 1n—I „tea auk. t.p b, u„y Ier du requlreo slcflls competencies (including but not limited to Prerequisite screening, rescue skills, BLS Skills, written and practical exams) and curriculum requirements as prescribed by the International Lifeguard Training ProgramTM for the lifeguard classification indicated above. I have also reviewed the ILTPT"' Course Completion Acknowledgment with its holder and am satisfied the card holder clearly understands said acknowledgment. Max Water Depth: ft/m Updated Max Water Depth: ft/m Instructor Name: InstructorID; Date: Instructor Name (Please Print): Instructor Signature: ��(%C..�=- i V f •> - ��L'`�Y'L54�_�-1 TCS y . � For additional information regarding the International Lifeguard Training Program TM please call or write to: Jeff Ellis & Associates, Inc. Business Office, 508 Goldenmoss Loop Ocoee, FL 34761 Office: 1-800-742-8720 Facsimile: 407-654-1723 E-mail: businesslaDiellis.com Distribution: This certificate is issued from Jeff Ellis & Associates, Inc. Corporate Headquarters, Kingwood, TX. Revised 1/2011 The Commonwealth of Massachusetts Department of Industrial Accidents Office ofInvestigations 600 Washington Street Boston, MA 02111 ,Y www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print LeLibly Business/Organization Name: Address: City, Are you an employer? Check the appropriate box: 1. ❑/ I am a employer with employees (full and/ or part-time).* 2. ❑ I am a sole proprietor or partnership and have no employees working for me in any capacity. [No workers' comp. insurance required] 3. ❑ We are a co_*poration and its officers have exercised their right of exemption per c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required]* 4. ❑. We are a non-profit organization, staffed by volunteers, with no employees. [No workers' comp. insurance req.] Phone #: Business Type (required): 5. ❑ Retail 6. ❑ Restaurant/Bar/Eating Establishment 7. ❑ Office and/or Sales (incl. real estate, auto, etc.) 8. ❑ Non-profit 9. ❑ Entertainment 10. ❑ Manufacturing 11. ❑ Health Care 12❑"xOthery �� f/i�'�€�.f:� �.�.'�`z_ 'Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. **If the corporate officers have exempted themselves, but the corporation has other employees, a workers' compensation policy is required and such an organization should check box #1. r am an employer that is providing workers' compensation insurance for my employees. Below is the policy information. Insurance Company N Insurer's :�ity/State/Zip: ?olicy # or Self -ins. Lic. # Expiration Date. kttach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). ::�ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a .me up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine )f up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to.the Office of nvestigations of the DIA for insurance coverage verification. do hereby certify, under the pains and penalties ofperjury that the information provided above is true and correct. ii afore Qn it Date Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Licensing Board S. S61ectmen's Office 6. Other Contact Person: Phone #: 1 0 A" R'D CERTIFICATE OF LIABILITY INSURANCE DATE (MMIODNYYY) 10/22/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Alliant Insurance Services, Inc. 2415 East Camelback Rd Suite 420 CONTACT NAME• PHONE , 602-707-1900 FAx 480-333-6973 E-MAIL INSURERS AFFORDING COVERAGE NAIC # Phoenix AZ 85016-4266 INSURERA:AXIS Surplus Insurance Company 26620 EACH OCCURRENCE $1,000,000 INSURED INSURER B: First Mercury Insurance Company 10657 INSURER c:Navigators Insurance Company 42307 Continental Pools, LLC 8520 Corridor Rd., #B Savage, MD 20763 INSURER D: Ohio Casualty Insurance Company 24074 !NSURERE:Liberty Mutual Fire Ins. Co. 123035 INSURER F: Liberty Surplus Insurance Corp10725 AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOSAUTOS NON -OWNED X HIRED AUTOS rAUTOS r-nveDAn=Q CGDTIFICATF NIIMRFD• 1770808447 RFVISION Nl1MRFR- vTHIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR i LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDD LIMITS F x COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR 100001724606 10/25/2015 10/25/2016 EACH OCCURRENCE $1,000,000 DAMAGE TORENTED PREMISES Eaoccunerice $1,000,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � PES a LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS -COMP/OPAGG $2,000,000 Policy Aggregate $$10,000,000 E AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOSAUTOS NON -OWNED X HIRED AUTOS rAUTOS AS2661066678025 10/25/2015 10/25/2016 Eo MB�NBED ent)SINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Peraccldent $ A X UMBRELLA IAB EXCESS LIAB X OCCUR CLAIMS -MADE ELU790250012015 10/25/2015 10/25/2016 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 DED I I RETENTION $ $ E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY PROPRIETORIPARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WA766DO66678015 10/25/2015 10/25/2016x --- PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 B C D Excess GL/EL Excess Auto Excess Liability NJEX000005872901 SF15EXC7613611V EC01656322216 10/25/2015 10/25/2015 10/25/2015 10/25/2016 10/25/2016 10/25/2016 Each Occ/Aggregate $10,000,000 Each OcdAggregate $10,000,000 Each Occ/Aggregate $10,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) rFDTIGIceTF t401 nFR CANCELLATION O 1988-ZU14 AC:UKL] I:UKVUKA I IUN. AH rlgnts reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Proof Of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. Continental Pools, LLC 8520 Corridor Road, Ste B Savage MD 20763•- AUTHORIZED REPRESENTATIVE O 1988-ZU14 AC:UKL] I:UKVUKA I IUN. AH rlgnts reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD REGULATION NO. I THE SPACE BELOW DESCRIBES VIOLATIONS MARKED ABOVE X/✓ .34 Closure of the pool. POOL MUST BE CLOSED UNTIL IT MEETS THE STANDARDS OF 105 CMR 435.29 THROUGH 435.31. SIGNED SIGNED Board of Health/Health Department NAME OF CITY OR TOWN STATE SANITARY CODE: CHAPTER V, MINIMUM STANDARDS FOR SWIMMING POOLS, 105 CMR 435.000 SWIMMING POOL INSPECTION REPORT TVPP !lP P(1(lT • PT TRT T(' rl CPTifT-PT TRT T(' rl CPP( TAT. PT TRP(ICP. POOT. rl NAME OF POOL ADDRESS OWNER ADDRESS DATE OF POOL CAPACITY INSPECTED BY INSPECTION �} # OF GALS METHOD OF WATER BATHER # OF LIFEGUARDS WATER SOURCE: TREATMENT LOAD I 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" V" 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 circulati filtration systems. Filter Effluent flow meter reading: gpm. # 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 .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 Bromine 1 {2.0-6.0 unm*1 I I Total Chlorine Cyanuric Acid (30-100 ppm) omb. Chlorine pH level Water Temp. 1040F, Other * arts 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