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HomeMy WebLinkAboutHoliday Inn 12/31/2005TOWN OF MANSFIELD BOARD OF SIX P,4,RV,,-RCW1, MANSFIELD 02048 In accordance with the provisions of Chapter 111. Section 127A of the Massachusetts General Laws, and Regulations established by the Massachusetts Department of Public Health (105 CMR 435.00). permit is hereby issued to: Mansfield Realty Limited Partnership for the operation of a ❑ Public ❑ Semi -Public Special Purpose Pool at: 31 Hampshire St. Method of water treatment is: 10 lb Chlorinator Bathing load not to exceed: 6 to 8 bathers Number of Lifeguards required at all times the pool is open is: None "NO LIFEGUARD ON DUTY" sign is required. Permit No.: 4 Date of Expiration: December 31, 2005 Scott L11te, Health Agent Date Issued Name of Owner: Mansfield Realty Limited Partnership Address: 31 Hampshire St. City: Mansfield State: MA Zip:02048 Telephone: 508-339-2200 Fax: Fed ID/SS No.: 04-3282038 Pool Location: 31 Hampshire St. Type/pool: Hot Tub Length: 15' Round Width: Min/Max. depth: 4' Swim Area: N/A Dive Area: N/A Water Source: Town W/W Disposal: Town Sewer Type of Finish: Marble with Tile Scum Gutter: N/A Deck Type: Brick Skmmr weir length: 16" Treatment System: Sand Disinfect Method: Chlorine Chemical Treatment: 10 Ib Chlorinator No. of Bathers: 6 to 8 Remarks: Permit No. A Fee per pool: $75.00 Mansfield Flea] ty Limite( SIGNATURE: (fir"►1 i +y DATE: Volume: 500 Expires December 3 V yearly mership, by its General Partner, Mansfield Realty Corp. , President Please make appropriate changes. Sign, date and enclose check payable to Town ofMansfzeld Mail to: Board of Health, Town ofMansfield, Six Park Row, Mansfield, MA 02048. R:�Heaffii\PaPs DocumenlsTERMITAPPLICATIONS\SWIMMING POOLS APP.doc LM, L�S�Ab 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 ❑ 77-77 777.77❑ SPF.CTAT. PTTRPnSF, POOT. NAME OF POOL, G�1 •, ADDRESS , OWNER ADDRESS DATE OFPOOL Z Z CAPACITY INSPECTED BY INSPECTION # OF GALS METHOD OF WATERBAT14ER # OF LIFEGUARDS WATER SOURCE: TREATMENT 'u LOAD q- T-P�� 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 ventilation; sanitary condition. .03Adequate enclosure around pool. Gate self -latching w/ latch 4 ft above ground. .04 Sewage Disposal .05 Location, structural stability, finish. .06 Water circulation & 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 pod immediately if outlet covers missing, broken, loose or can be removed without tools 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. Bromine 10 Slimming facilities. 50% of recirculation drawn from Total Chlorine surface of pool. Alkalinity34-1Q 12 Line with floats separates non -swimmer area from Free Chlorine deeper water. Cyanuric Acid 12 Water depth markings on deck and walls. Property Comb. spaced. Boundary line on pool floor and walls. Step i NW edges marked with contrasting color. Chlorine 13 Walkway and decks 4 feet wide, safe condition. d^ AA .14 Ladders, steps - one per 75 feet. Not less than 2? ladders. Bromine .15 Diving equipment in safe condition. Total Chlorine .17 Pool supervision - Pool supervision provided. Alkalinity34-1Q Effective Jan. 1, 1999, pool supervisor certified as pool Free Chlorine operator from YMCA or NSPF. Cyanuric Acid .21 Permit requirements - Permit issued. Adequate Comb. maintenance and testing records maintained. Records initialed by person making tests. Chlorine .22 Health regulations: Signs posted. Health warning Water Temp. signs posted for special purpose pools. pH level .23 Lifeguards required: Yes ❑ No ©/ *parts per million If lifeguards required. Proper credentials, proper suits Other and garments wom. 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 Z.O 0 m"r Total Chlorine -� Alkalinity34-1Q , m Free Chlorine Cyanuric Acid X30 l {}(? pPni Comb. Chlorine - ✓ Water Temp. pH level *parts per million Other .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 " REGULATION NO. I THE SPACE BELOW DESCRIBES VIOLATIONS MARKED ABOVE 34 I I Closure of the pool. POOL MUST BE CLOSED UNTIL IT MEETS THE STANDARDS OF 105 CMR 435.29 THROUGH 435.31. SIGNED (SIGNED Operator Board of HealtMeatih Department TOWN OF MANSFIELD BOARD OF HEALTH SIX PARK ROW, MANSFIELD 02048 In accordance with the provisions of Chapter 111. Section 127A of the Massachusetts General Lcnvs, and Regulations established by the Massachusetts Department of Public Health (105 CNIR 435.00). permit is hereby issued to: Mansfield Fealty Limited Partnership for the operation of a Public �emi-Public Special Purpose Pool at: 31 Hampshire St. Method of water treatment is: 301b auto feed chlorinator Bathing load not to exceed: 83 bathers Number of Lifeguards required at all times the pool is open is: None "NO LIFEGUARD ON DUTY" sign is required. Permit No.: 3 Date of Expiration: December 31, 2005 Scott Le Health Agent Date Issued Name of Owner: Mansfield Realty Limited Partnership Address: 31 Hampshire St. City: Mansfield State: MA Zip:02048 Telephone: 508-339-2200 Fax: Fed ID/SS No.: 04-3282038 Pool Location: 31 Hampshire St. Type/pool: Semi Public Length: 76' Width: 26' Volume: 40,000 Min/Max. depth: 3' to 5' Swim Area: 1,976 sf Dive Area: None Water Source: Town W/W Disposal: Town Sewer Type of Finish: Fiberglass over gunite Scum Gutter: Lower and Upper Deck Type: Plaster Skmmr weir length: 16" Treatment System: Sand Disinfect Method: Chlorine Chemical Treatment: 301b auto feed chlorinator No. of Bathers: 83 Remarks: Permit No.:3 Fee per pool: $75.00 Mansfield Redlt�` Limited SIGNA DATE: it pires December 31St yearly nship, by its General Partner, Mansfield Realty Corp. el Frank, President Please make appropriate changes. Sign, date and enclose check payable to Town ofMansfaeld Mail to: Board of Health, Town ofMansfield, Six Park Row, Mansfield, MA 02048. R\ilealdi\Pafs Documents\PERMUAPPLICAUONS\SWIMMING POOLS APP.doc NAME OF CITY OR TOWN STATE SANITARY CODE: CHAPTER V, MINIMUM STANDARDS FOR SWIMMING POOLS, 105 CMR 435.000 SWIMMING POOL INSPECTION REPORT -Tr T Ti r-1 QUK AT -DT Mf TO ® 0,T)UPTAT PT TRP('l..OP P(l(1T NAME OF POOL ADDRESS OWNER ADDRESS DATE OF INSPECTION 2 POOL CAPACITY # OF GALS INSPECTED BY _ �f MESA OT DIEOFTWATER BATF LOAD # t K LIFEGUARDS WATER SOURCE: 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 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 circulation & filtration systems. Filter Effluent flow meter reading: qpm. # 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. Special purpose pool and wading pools equipped emergency shut off pump switch. Accessible and prominently marked. .09 Cross connections. Portable water supplied through air gap. (2.0-6.0 m*) .10 Slimming facilities. 50% of recirculation drawn from Alkalin surface of pool. Free Chlorine 1.0-3.0 m .12 Line with floats separates non -swimmer area from (30-100 ppm) deeper water. Water Temp. .12 Water depth markings on deck and walls. Properly pH level (7.2-7.8) spaced. Boundary line on pool floor and walls. Step I 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 wom. 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 1S M POOLSIDE READINGS Bromine (2.0-6.0 m*) Total Chlorine Alkalin 50-150 m Free Chlorine 1.0-3.0 m Cyanuric Acid (30-100 ppm) Comb. (0.0-0.2 ppm) Chlorine Water Temp. 104°F. pH level (7.2-7.8) * Rarts er million I Other .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