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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ COUNTY <br /> Tl <br /> E"r : <br /> ^'•ti7F Opt�� Greotness grows here. Timee OOutut: 8 8:3:30 am <br /> 0 am <br /> Swimming Pool Official Inspection Report <br /> Name of Facility: SHADOW LAKE MOBILE HOME PARK LLC Date: 06/24/2020 <br /> Address: 5100 N HWY 99 , STOCKTON 95212 <br /> Owner/Operator: SHADOW LAKE MOBILE HM PRK LLC Telephone: (707)864-0269 <br /> Program Element: 3612-PUBLIC POOL/SPA-ADDITIONAL <br /> Inspection Type: INSPECTION/REINSPECTION (Chargeable) <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: 50 gpm Chlorine: 2 ppm Temp: ° F <br /> Cyanuric acid: 30 ppm pH: 7.4 Combined chlorine: ppm <br /> NOTES <br /> Re-inspection conducted this date. Free chlorine are tested to be in compliance.The underwater light was fixed and secured. <br /> Influent: 10 psi; Effluent: 8 psi. <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: Alex Cortez Jr., Maintenance <br /> EH Specialist: STEVEN SHIH Phone: (209)468-9850 <br /> FA0002794 PR0360256 SC333 06/24/2020 <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 />