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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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1337
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3600 - Recreational Health Program
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PR0530360
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COMPLIANCE INFO
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Last modified
6/15/2021 1:52:46 PM
Creation date
6/15/2021 1:50:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3600 - Recreational Health Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0530360
PE
3611
FACILITY_ID
FA0019811
FACILITY_NAME
HOLIDAY INN EXPRESS
STREET_NUMBER
1337
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04931051
CURRENT_STATUS
01
SITE_LOCATION
1337 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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a.fn.. SAN JOAQUIN COUNTY <br />`1 EN- IONMENTAL HEALTH DEPARTI NT <br />4 < <br />1868 East Hazelton Avenue, Stockton, CA 952.,-6232 <br />"6s`a •�" Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Date: (,eill"J-01111 <br />Address: J I?r.—Gy City: Zip Code: <br />Owner/Operator: l /Alpi Telephone: 'M-' MD <br />Program Element: 3wi I Program Record: QS' �(/� Inspection Type: <br />Flow Rate (gpm): <br />pH: p <br />rl <br />Chlorine (peri <br />p -'I�f e� <br />Cyanuric Acid (ppm): <br />✓ o <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EOUIPMENT <br />The marked violations represent Health Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />/&�� <br />( �lVliG, LVl `(✓I!� f Q.� r%�• <br />❑ Pumps <br />fVV41q Ma <br />❑ Chlorinator <br />❑Flowmeter <br />11� L (P-0%� 6j (yl, 04 <br />[IGauges <br />t <br />❑ Skimmer <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />- - <br />U vvrii <br />n <br />❑ Equalizer Line Cover <br />' CONSTRUCTION <br />I I V 1 c <br />❑ Pool Shell <br />❑ Fencing/Gates <br />j/�f1l �{ nlloh4—or <br />❑ Decking & Coping <br />p /� <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />(wl <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <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 />- — <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />ITime <br />Effluent: t O <br />In: �- <br />RecXiyed By: <br />Inspectedby: r <br />C • <br />Time Out: <br />EHD 36-015-8-12 SWIMMING POOL OR Page — of _ <br />
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