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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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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 />2r ' ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />�..., P. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />9CiF0PN <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Date: (f <br />Address: City: 07L Zip Code: <br />Owner/Operator: Telephone: Alp— <br />Program Element: (741 Program Record:J3 0 9519Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />% <br />Chlorine (ppm): <br />�. a <br />Cyanuric Acid (ppm): <br />✓� <br />Temp: Rei, ction 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 />�/ _ t i <br />❑ Pumps <br />❑ Chlorinator <br />Flowmeter <br />RCS Ih <br />❑ Gauges <br />_ <br />Skimmer & Gutters <br />Back Flow Prevention <br />/ �, ✓rl_ e <br />-- D'3"C <br />❑ Main Drain Cover <br />A <br />�'fj,t ��- aQ <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />_ �t <br />El Wade Pool –2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Poler <br />o <br />/ <br />44" dlou 0 O <br />Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />– <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ DepthMarkers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />7 <br />RESTROOMS <br />(o <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />—1 r <br />WATER QUALITY71 <br />Chlorine <br />Wr <br />_ D- <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />– <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />Algae <br />o Z <br />t <br />Influent 1 a L <br />1 1 <br />Effluent: <br />Time ln: <br />e Out: <br />Re ived By: <br />J�-{�l <br />//Inspected <br />/ �N � by: ,c <br />" le �// .f' l <br />EHD 36-0105-29-2007 P;:ge-of L <br />
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