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EHD Program Facility Records by Street Name
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3600 - Recreational Health Program
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PR0360556
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Last modified
4/28/2021 2:33:58 PM
Creation date
4/28/2021 2:30:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3600 - Recreational Health Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0360556
PE
3612
FACILITY_ID
FA0003201
FACILITY_NAME
WOODBRIDGE GREENS HOMEOWNERS
STREET_NUMBER
19052
STREET_NAME
CYPRESS RUN
City
WOODBRIDGE
Zip
95258
APN
01529050
CURRENT_STATUS
01
SITE_LOCATION
19052 CYPRESS RUN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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PgUN SAN JOAQUIN COUNTY <br />O..CA <br />ENbIrZONMENTAL HEALTH DEPARTMCIVT Aragon c�o15 <br />". 600 East Main Street, Stockton, CA 95202-3029 644e co lg <br />�., Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />9�FOR�` <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility I Q n S A Date: `[. (� <br />Address; I oti7 �J'.,Z-- fwn City: (,Loud r Zip Code: 01 <br />Owner/Operator: 6t ra Nch 2 Telephone: ' too & <br />Program Element: ;�;bll Program Record: PP_b3�,C)5 (i 3(p b Inspection Type: '_k2,pLt-[j yam, <br />Flow ate (gpm): <br />Ra°� '7aI <br />pH: <br />n.y <br />y <br />Chlorine (ppm): <br />eo � <br />I .b Fc a.(, <br />o CC, o. z <br />Cyanuric Acid (ppm): <br />P!( go <br />2Q <br />Temp: a <br />Reinspection on or after: <br />I <br />othe: : <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetCode Violations and must be corrected as indicated: <br />I✓ Filters <br />� Pumps <br />❑ Chlorinator <br />t '5 SK.tYnYri¢ — ri <br />n(� I <br />Pop) s r CS (2a J �. Prot- <br />Flowmeter <br />t5 L) 0 O n (Mkn f <br />Q Gauges <br />ytp e.ee.f ro <br />Skimmer & Gutters <br />❑ Back Flow Prevention <br />i <br />r; k7c, -For <br />[vr Main Drain Cover <br />[�- Equalizer Line Cover <br />CONSTRUCTION <br />! v l e <br />0 Pool Shell <br />_Fencing/Gates _ <br />TV Decking & Coping <br />Wade Pool -2 Main Drains <br />bOL rre _z <br />SAFETY EQUIPMENT <br />[a' Rescue Pole <br />[� Life Ring <br />[L] Safety Signs <br />❑ Lifeguard <br />Pool/Deck Lighting <br />[� Ladders/Hand Rails <br />Depth Markers/Tiles <br />❑ First Aid Kits <br />Emergency Shut-off Switch <br />RESTROOMS <br />Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />Chlorine <br />pH <br />Cyanuric Acid <br />Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />5l' Supervision & Control <br />❑` General Sanitation <br />Algae <br />m SPc� <br />Influent: 1 O j 3 <br />Effluent: <br />Time In: X30 <br />Roo ed - <br />Inspected by: <br />Time Out: IQ; 0_�5 <br />EHD 36-01 7-18-08 SWIMMING POOL OR <br />
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