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EHD Program Facility Records by Street Name
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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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EHD - Public
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SAN_JOAQUIN <br />- —COUNTY— <br />r_, r <br />Environmental Health Department <br />Swimming Pool Official Inspection Report <br />Time In: 330 pm <br />Time Out: 4:07 om <br />Name of Facility: SHADOW LAKE MOBILE HOME PARK LLC <br />Date: 08/06/2018 <br />Address: 5100 N HWY 99, STOCKTON 95212 <br />Owner/Operator: SHADOW LAKE MOBILE HM PRK LLC <br />Telephone: (707) 864-0269 <br />Program Element: 3612 - PUBLIC POOL/SPA-ADDITIONAL <br />Inspection Type: ROUTINE INSPECTION- Operating Permit <br />VIOLATIONS AND CORRECTIVE ACTIONS <br />Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code section(s) 116043, 116040, & <br />116050. All violations must be corrected within specified timeframe. Violations that are classified as "MAJOR"pose an immediate threat to public health <br />and must be corrected immediately or be subject to closure pursuant to California Code of Regulations (Title 22) section 65545. <br />#1 Pool Gates <br />OBSERVATIONS: Keep gate closed sign. Provide a keep gate closed sign at pool entrance gate within two weeks. <br />CALCODE DESCRIPTION: Gates and doors leading into the pool area shall be equipped with self-closing self -latching devices. <br />Self -latching devices shall be designed to keep the gate or door securely closed. Gates and doors shall open outward from the pool area <br />except where otherwise prohibited by law. (CBC 3119B) Pool operator shall keep gates and doors leading into the pool area well <br />maintained. (CCR 65535) <br />#1 Pool Gates <br />OBSERVATIONS: Keep gate closed sign. Provide a keep gate closed sign at pool entrance gate within two weeks. <br />CALCODE DESCRIPTION: Gates and doors leading into the pool area shall be equipped with self-closing self -latching devices. <br />Self -latching devices shall be designed to keep the gate or door securely closed. Gates and doors shall open outward from the pool area <br />except where otherwise prohibited bylaw. (CBC 31198) Pool operator shall keep gates and doors leading into the pool area well <br />maintained. (CCR 65535) <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Flow rate: 50 gpm Chlorine: 10.0 ppm Temp: <br />Cyanuric acid: <br />NOTES <br />East Pool <br />influent 19psi <br />effluent 9psi <br />40 <br />a F <br />PPM pH: 7.2 Combined chlorine: 00.00 ppm <br />No Lights. There have never been lights. <br />The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br />Safety Code. If a reinspection is required, fees will be assessed at the current hourly rate. <br />Received by: Name and Title: Bruce Gale, Maintenance <br />EH Specialist: PAUL NSO <br />Phone: (209)969-5628 <br />FA0002794 PR0360256 SCO01 08/06/2018 <br />EHD 36-01 Rev. 06/30/15 Page 1 of 1 Swimming Pool OR <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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