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Time In: 1 L 1 D am <br />rime Out: 12:30 pm <br />San Joaquin County <br />i Z Environmental Health Department <br />" 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sogov.org/ehd <br />au a�W <br />Swimming Pool Official Inspection Report <br />Name of Facility: SHADOW LAKE MOBILE HOME PARK LLC <br />Date: 07/22/2015 <br />Address: 5100 N HWY 99, STOCKTON 95212 <br />Owner/Operator: SHADOW LAKE MOBILE HM PRK LLC <br />Telephone (707) 864-0269 <br />Program Element: 3612 - PUBLIC POOL/SPA- ADDITIONAL <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 Califomia Code of Regulations (Title 22) section 65545. <br />#1 Pool Gates MAJOR <br />OBSERVATIONS: Gate not self-closing due to obstruction on the door. Provide. Corrected on site <br />VIOLATION DESCRIPTION: Gates and doors leading into the pool area shall be equipped with self-closing self -latching devices. <br />Self -latching devices shall be designed to keep the gate or door securely closed. Gates and doors shall open outward from the pool area <br />except where otherwise prohibited bylaw. (CBC 31198) Pool operator shall keep gates and doors leading into the pool area well <br />maintained. (CCR 65535) <br />#4 Safety Equipment MAJOR <br />OBSERVATIONS: Body hook was shoved into a hollow pole and completely detachable, and rope to ring tangled. <br />Corrected on site. <br />VIOLATION DESCRIPTION: Safety equipment shall be provided, maintained, readily visible, and available for use. Pools shall have at <br />minimum one 12 foot fixed -length rescue pole with a permanently attached body hook and one 17 -inch life ring with an attached throw <br />rope. Throw rope shall be of sufficient length to span the maximum width of the pool and shall be stored to prevent kinking or fouling. <br />(CCR 65540) <br />#3 Safety Signs <br />OBSERVATIONS: No name and address on sign. Provide. This is a repeat. <br />VIOLATION DESCRIPTION: Pool operator shall keep safety signs well maintained. (CCR 65535) Safety signs shall have cleady legible <br />letters or numbers not less than 4 inches high, unless otherwise specified. Safety signs shall be affixed to a wall, pole, gate, or similar <br />permanent structure in a location visible to all pool users, unless otherwise specified. (CBC 31208) <br />#9 Ladders and Handrails <br />OBSERVATIONS: Rail loose. Tighten. This is a repeat. <br />VIOLATION DESCRIPTION: A means of entry and exit shall be provided at both the shallow and deep end of the pool. Ladders and <br />handrails shall be corrosion resistant and shall be rigidly installed. At least one handrail shall extend from the deck to not less than a point <br />above the top of the lowest step. Handrails shall be installed between 28 to 36 inches above the steps and deck. (CBC 3111B) Pool <br />operator shall keep ladders and handrails well maintained. (CCR 65535) <br />FAD002794 PRO360256 SC001 07/22/2015 <br />EHD Rev. 06/30/15 Page 1 of 3 Swimming Pool OIF <br />