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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ COUNTY <br /> Time In: 220 pm <br /> ^'•ti7FOpt�% Greotness grows here. <br /> Time Out: 3:00 am <br /> Swimming Pool Official Inspection Report <br /> Name of Facility: MARIONS RANCH HOUSE MOTEL Date: 06/16/2020 <br /> Address: 12404 N HWY 99 , LODI 952407229 <br /> Owner/Operator: DONNELLY, NICHOLAS&HELEN M Telephone: (209)368-2751 <br /> Program Element: 3699-POOL/SPA-OUT OF SERVICE <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code section(s)116043, 116040,& <br /> 116050. All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and must be corrected immediately or be subject to closure pursuant to California Code of Regulations(Title 22)section 65545. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Flow rate: gpm Chlorine: ppm Temp: ° F <br /> Cyanuric acid: ppm pH: Combined chlorine: ppm <br /> NOTES <br /> Out of service pool routine inspection conducted this date.The followings were noted: <br /> The pool is empty,fence is locked and secured. <br /> Inspection report was discussed with Sharon Morford. The signature was not captured. <br /> Inspection report will be e-mailed to the facility. <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Sharon Morford, <br /> EH Specialist: STEVEN SHIH Phone: (209)468-9850 <br /> FA0000334 PR0360631 SCO01 06/16/2020 <br /> EHD 36-01 Rev.06/30/15 Page 1 of 1 Swimming Pool OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />