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COMPLIANCE INFO_2021
EnvironmentalHealth
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3600 - Recreational Health Program
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PR0360390
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COMPLIANCE INFO_2021
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Last modified
6/24/2021 7:52:05 AM
Creation date
6/24/2021 7:47:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3600 - Recreational Health Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0360390
PE
3611
FACILITY_ID
FA0002346
FACILITY_NAME
LINCOLN LAKESIDE SECOND HOMES HOA
STREET_NUMBER
6213
STREET_NAME
CUMBERLAND
STREET_TYPE
PL
City
STOCKTON
Zip
95219
APN
09833013
CURRENT_STATUS
01
SITE_LOCATION
6213 CUMBERLAND PL
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ COUNTY <br /> Tl <br /> E"r : <br /> ^'•ti7F Opt�� Timee OOutut: 122:0Greotness grows here. 1 :00 am <br /> 0 pm <br /> Swimming Pool Official Inspection Report <br /> Name of Facility: LINCOLN LAKESIDE SECOND HOMES HOA Date: 06/23/2021 <br /> Address: 6213 CUMBERLAND PL, STOCKTON 95219 <br /> Owner/Operator: LINCOLN LAKESIDE SECOND HOA Telephone: (209)463-4435 <br /> Program Element: 3611 -PUBLIC POOL/SPA-PRIMARY <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Flow rate: 60 gpm Chlorine: 2.8 ppm Temp: ° F <br /> Cyanuric acid: 65 ppm pH: 7.6 Combined chlorine: 0 ppm <br /> NOTES <br /> no signature due to covid 19 <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: <br /> EH Specialist: NICHOLAS WIESEMAN Phone: <br /> FA0002346 PR0360390 SCO01 06/23/2021 <br /> EHD 36-01 Rev.06/30/15 Page 1 of 1 Swimming Pool OIR <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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