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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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EHD - Public
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rh: <br />SAN JOAQUIN COUNTY <br />Et. .RONMENTAL HEALTH DEPAR-V _NT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility:m — ��5. f- OQ Date: r7 —23 —0 <br />Address: T C1 City: —(-p h Zip Code: <br />Owner/Operator: Telephone: b7� <br />Program Element: Program Record: OR 0 Inspection Type: 01ti 76 <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />j•OFC. <br />O c. <br />Cyanuric Acid (ppm): <br />�-- <br />Temp:Reinspection <br />on or after: <br />9 53- 9217 <br />oZAA.1D1L.�s <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />Filters <br />C-10''�e Y10'% cs[I e.LoSfn_ <br />_ <br />[Q Pumps <br />Y n C n <br />[� Chlorinator <br />Flowmeter <br />6hor <br />[a Gauges <br />[a Skimmer & Gutters <br />Back Flow Prevention <br />[�- Main Drain Cover <br />e, W4 <br />Equalizer Line Cover <br />CONSTRUCTION <br />bm I ur,h+ LJn r �rp lh ao S- <br />a* t <br />❑ Pool Shell <br />[� Fencing/Gatesrru1 <br />[� Decking & Coping <br />r c�-oor5 Pro v4 in <br />❑ Wade Pool - 2 Main Drains <br />SAF ETY'EQUIPMENT <br />❑ Rescue Pole <br />Y' L.. <br />Life Ring <br />Q Safety Signs <br />b 10 IAJ4 <br />❑ Lifeguard �Jq <br />F n ) Yu 551 pro r <br />E]Pool/Deck Lighting Ul-ov <br />.Q Ladders/Hand Rails <br />DepthMarkers/Tiles�1?fig <br />j tern 1 r n bn c� h <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />W V� <br />RESTROOMS <br />r LLygr W <br />❑ Showers r.I." <br />❑ Toilet & Dressinge <br />Ventilation <br />Y r0 u rrl. . U3 Y i'L <br />WATER QUALITY <br />❑ Chlorine <br />( pH <br />0' Cyanuric Acid <br />0 Clarity <br />[.� Test Kits <br />Y10T- SS <br />r . <br />MISCELLANEOUS <br />d Supervision & Control <br />4C 1.tJ0I rd --')C,,jt <br />General Sanitation <br />Algae <br />Influent: <br />_ <br />Effluent: <br />Time In: il�-'25 <br />Rec ved By:,,q <br />t_In�spectedby: <br />Time out:' j : Q 5 <br />EHD 36-017-31-09 SWIMMING POOL OR Page of <br />
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