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SAN JOAQUIN <br />Lc-a:v i Y <br />Environmental Health Department <br />Time In: 1031 am <br />Time Out: 11:01 am <br />Swimming Pool Official Inspection Report <br />Name of Facility: LAKESHORE VILLAGE HOA <br />Date: 08/08/2019 <br />Address: 1550 S MILLS AVE, LODI 95242 <br />Owner/Operator: LAKESHORE VILLAGE <br />Telephone: <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 55545. <br />#36 Pressure and Vacuum Gauges <br />OBSERVATIONS: The effluent gage appear to be non -fu nciton ing. Repair or replace the effluent gage. <br />CALCODE DESCRIPTION. Pressure and vacuum gauges shall be provided for each pump system. ICRC 31258) <br />#45 Lifeguard First Aid Equipment <br />OBSERVATIONS: Hard-line telephone was not present. A hard-line phone must be available, as cellphone coverage can be <br />unreliable. <br />CALCODE DESCRIPTION. Public pools with lifeguard services shall have the following safety equipment available in the pool area: <br />10 -person first aid kit, operating telephone, backboard, and head immobilizer. (CCR 65540) <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Flow rate: 63 <br />Cyanuric acid: >90 <br />NOTES <br />Influent- 18psi/19psi <br />Effluent- non-functioning <br />Report sent via email to Kylie <br />gpm Chlorine: <br />Ppm pH: <br />7.4 <br />Temp: <br />Combined chlorine: <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 minsp`ectcttiioonnyiissNrequired, fees will be assessed at the current hourly rate. <br />Iv <br />Received by: <br />Name and Title: <br />°F <br />EH Specialist: MICHAEL SUSZYCKI Phone: (209) 468-3457 <br />FAMM567 PROW0380 SC001 08/08/2619 <br />EHD 36-01 Rev. 06/30116 Pagel of 1 Swimming Poal 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 />