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Time In: trr0n am <br />Time Out: 11:00 am <br />QeaHln. San Joaquin County <br />1 "•• A4 <br />a Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />;p • Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />Ylp d'R" <br />Swimming Pool Complaint Inspection Report <br />Name of Facility: COUNTRY MANOR MOBILE ESTATES <br />Date: 08/14/2017 <br />Address: 17251 N TRETHEWAY RD, LOCKEFORD 95237 <br />Owner/Operator: LEPELLEY FAMILY TRUST <br />Telephone: (209) 763-2586 <br />Program Element: 3600 - RECREATIONAL HEALTH PROGRAM <br />Complaint#: C00043987 <br />DESCRIPTION OF COMPLAINT ALLEGATIONS <br />The San Joaquin County Environmental Health Department received the following complaint: <br />COMPLAINANT ALLEGES POOL IS NOT CLEANED REGULARLY AND HE RECENTLY GOT SICK AFTER USING THE <br />POOL. <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, 8 <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 orbe subject to closure pursuant to California Code of Regulations (Title 22) section 65545. <br />#12 pH Level Major <br />OBSERVATIONS: pH 8.0. Provide 7.2 to 7.8 <br />CALCODE DESCRIPTION: Pool operator shall maintain pH between 7.2 and 7.8. (CCR 65530) <br />OVERALL INSPECTION NOTES AND COMMENTS r <br />OBSERVATIONS <br />Flow rate: gpm Chlorine: 5.2 ppm <br />Cyanuric acid: 40 ppm pH: 8.0 <br />NOTES <br />Pool looks clean. <br />pH at 8.0; hence pool is closed. Call for reinspection. 468-0335 <br />OIR emailed to Caryl at caryl2423@aol.com <br />°F <br />Combined chlorine: 0.2 ppm <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: jim genn, mgr <br />EH Specialist: JEFFREY WONG Phone: (209) 468-0335 <br />FA0000063 000043987 SC444 0811412017 <br />Page 1 of 1 Swimming Pool Complaint Inspection Report <br />