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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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5100
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1600 - Food Program
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PR0360256
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COMPLIANCE INFO
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Entry Properties
Last modified
11/19/2024 1:55:56 PM
Creation date
6/10/2021 1:52:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0360256
PE
3612
FACILITY_ID
FA0002794
FACILITY_NAME
SHADOW LAKE MOBILE HOME PARK LLC
STREET_NUMBER
5100
Direction
N
STREET_NAME
STATE ROUTE 99
City
STOCKTON
Zip
95212
APN
08704014
CURRENT_STATUS
01
SITE_LOCATION
5100 N HWY 99
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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SAN JOAQUIN COUNTY <br />ENVY )NMENTAL HEALTH DEPARTMr T <br />1868 East tiazelton Avenue, Stockton, CA 9520b-0232 <br />v; Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sigov.org/ehd <br />,SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />CPrvx—Date: <br />Address: 510 A) <br />City: <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: <br />Program Record: <br />0 j5),S(eInspection Type: <br />kZWjjf <br />Flow Rate (gpm): pH: <br />\...L0 <br />Chlo a (ppm)- Q, <br />d C LV <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health&Safet Code Violations and must be corrected as indicated: <br />❑ Filters <br />f /w <br />1 r/ <br />❑ Pumps <br />y' <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ 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 />- <br />-RESTROAMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />_ <br />❑ Test Kits <br />MISCELLANEOUS - <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />,f <br />Influent: ar� ON <br />Effluent: 18' <br />Time In:2 .� <br />Received 9y: <br />^/ <br />Z?4 <br />Inspected by: <br />S' <br />Time Out: <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page A-- ofl <br />
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