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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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,a" SAN .JOAQUIN COUNTY <br />z,` EM,iRONMENTAL HEALTH DEPARTM=NT <br />P: � <br />" ` 600 East Main Street, Stockton, CA 95202-3029 <br />.,rt... Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd (/� <br />4[/PORN`♦ Zh"' 1#7O� <br />SWIMMING POOL OFFICIAL INSPECTION REPORT, <br />Name of Facility: + <br />Date: b <br />Address: J GOV / ` <br />City: <br />Zip Code: <br />Owner/Operator: <br />6 <br />` _ U 6 <br />T VWe: qW <br />Program Element: _ <br />Program R <br />rd:, <br />Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />4 <br />Chlorine (pp�m): <br />�� Ir <br />J <br />Cyanuric Acid (ppm): <br />t[/� <br />-1 V <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />I ,/%� <br />� <br />C! Cil. � <br />Q ✓O <br />�� <br />L]Pumps <br />�f 6 <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />Z <br />A <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention_ <br />_ _.y} <br />/YAQ <br />C� <br />P <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 EQUIPMENTS <br />�— <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />a-- <br />.0 <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />C <br />.6 <br />. ✓'_ <br />V� �— <br />❑ Depth MarkerslTiles <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 />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />rZ <br />� <br />, <br />c) <br />Influent: ' l r J <br />Effluent: <br />Time In: $7 a <br />Received By://11t <br />P� <br />Inspected <br />by: <br />�� <br />Time Out: (J 5 <br />EHD 36-017-18-08 SWIMMING POOL OIR <br />
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