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aP4�+n. San Joaquin County <br />q; Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA95205-6232 <br />.... _ a Telephone: (209) 468-3420 Farr: (209) 464-0138 Web: www.sioov.ora/ehd <br />4C1 PGti�' <br />Swimming Pool Official Inspection Report <br />Facility Name and Address: LAKESHORE VILLAGE HOA, 1550 S MILLS AVE, LODI 95242 <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: Bret Sackette, HOA member <br />EH Specialist: PAUL NSO Phone: (209) 969-5628 <br />FA0000567 PR0360380 SCO01 09/22/2017 <br />EHD 36-01 Rev. 06/30/15 Page 2 of 2 Swimming Pool OIF <br />