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Time In: 1040-m <br />Time Out: 11:10 am <br />aP441 ry. San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siaov.org/ehd <br />4tl A naH� <br />Swimming Pool Official Inspection Report <br />Name of Facility: COUNTRY MANOR MOBILE ESTATES <br />Date: 06/02/2017 <br />Address: 17251 N TRETHEWAY RD, LOCKEFORD 95237 <br />Owner/Operator: LEPELLEY FAMILY TRUST <br />Telephone: (209) 452-0000 <br />Program Element: 3611 - PUBLIC POOL/SPA- PRIMARY <br />Inspection Type: INSPECTION/REINSPECTION 1 hr minimum <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, S <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 />#36 Pressure and Vacuum Gauges <br />OBSERVATIONS: Effluent gauge filled with oil and water droplets; unreadable. Repair so it's functional in 1 week. <br />CALCODE DESCRIPTION: Pressure and vacuum gauges shall be provided (preach pump system. (CBC 31258) <br />OBSERVATIONS <br />Flow <br />OVERALL INSPECTION NOTES AND COMMENTS <br />gpm Chlorine: 4.4 <br />Cyanuric acid: <40 ppm <br />NOTES <br />Pool is reopened. <br />Note: <br />GCFI working <br />OIR emailed to caryl2423@aol.com <br />pH: <br />7u <br />Temp: eF <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: <br />Name and Title: iint genn, mgr <br />EH Specialist: JEFFREY WONG Phone: (209) 468-0335 <br />FAD000D63 PR0360334 SO333 06/0212017 <br />EHD 36-01 Rev. 06130115 Page 1 of 1 swimming Pool OIR <br />