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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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PqutN SAN JOAQUIN COUNTY <br />y ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov,org/ehd <br />�/FOR <br />Name <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />of FaciliTy: <br />Address: Date: /1 Q <br />9 City: Zip Code: <br />Owner/Operator.tfp dZ/ <br />Program Element: PTelephone: <br />Pro Record: � <br />FloPrInspection Type: <br />w y) pH: hlp/yam`:' (ppm): Cyanuric Acitl IPPm): Temp:Rei <br />f71N,."f_ -/ 0 <br />©•a (Cc-) Other: <br />LA <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 Rine <br />Pool/Deck Lighting <br />Ladders/Hand Rails <br />Depth Markers/Tiles <br />First Aid Kits <br />Emergency Shut-off Switch <br />❑ Toilet & Dressing <br />on or <br />Influent <br />Effluent <br />EHD 36-0105-29-2007 <br />EHD 36-0105-29-2007 <br />ilation <br />TER QUALITY <br />rineuric <br />AciditsSCELLANEOUSvision <br />VVenulauon <br />& Controlal <br />Sanitation <br />Influent <br />Effluent <br />EHD 36-0105-29-2007 <br />EHD 36-0105-29-2007 <br />
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