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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3600 - Recreational Health Program
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PR0360127
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COMPLIANCE INFO_2021
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Last modified
11/19/2024 1:51:18 PM
Creation date
7/28/2021 8:24:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3600 - Recreational Health Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0360127
PE
3611
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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SJGOV\jcastaneda
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EHD - Public
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Environmental Health Department <br />Time In: <br />10:30 am <br />10:00 am <br />Time Out: <br />Program Element: 3611 - PUBLIC POOL/SPA - PRIMARY <br />Telephone: (707) 864-0269 Owner/Operator: SHADOW LAKE MOBILE HM PRK LLC <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 5100 N HWY 99 , STOCKTON 95212 <br />Date: 07/26/2021Name of Facility: SHADOW LAKE MOBILE HOME PARK LLC <br />Swimming Pool Official Inspection Report <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 /> #4 Safety Equipment MAJOR <br />OBSERVATIONS: Body hook is lacking. Provide body hook immediately. <br />CALCODE DESCRIPTION: Safety equipment shall be provided, maintained, readily visible, and available for use. Pools shall have at <br />minimum one 12 foot fixed-length rescue pole with a permanently attached body hook and one 17-inch life ring with an attached throw <br />rope. Throw rope shall be of sufficient length to span the maximum width of the pool and shall be stored to prevent kinking or fouling. <br />(CCR 65540) <br /> #10 Disinfectant Residual MAJOR <br />OBSERVATIONS: Free residual chlorine was 0 ppm. Maintain free residual chlorine between 2.0 ppm and 10.0 ppm. <br />Correct immediately. <br />CALCODE DESCRIPTION: Public pools, when open or in use, shall be disinfected continuously by approved chemicals and shall maintain <br />the following concentrations: 1.0 ppm to 10.0 ppm free chlorine without cyanuric acid, 2.0 ppm to 10.0 ppm free chlorine with cyanuric acid <br />or 2.0 ppm bromine. Spas, wading pools, and spray grounds shall maintain the following concentrations: 3.0 ppm to 10.0 ppm free <br />chlorine or 4.0 ppm bromine. (CCR 65529) <br /> #12 pH Level MAJOR <br />OBSERVATIONS: PH was greater than 8. Maintain PH between 7.2 and 7.8. Correct immediately. <br />CALCODE DESCRIPTION: Pool operator shall maintain pH between 7.2 and 7.8. (CCR 65530) <br /> #17 Cleanliness of Pool <br />OBSERVATIONS: Pool has a slight accumulation of debris. Clean and do not allow debris to accumulate in the pool. <br />CALCODE DESCRIPTION: Pool operator shall maintain clean pool water while the pool is in use and shall not allow debris to accumulate <br />in the pool. Pool operator shall clean the bottom, sides, and other surfaces of the pool as often as necessary to keep pool surfaces clean <br />and free of slime and algae. (CCR 65533) <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Flow rate:gpm <br />pH: <br />Chlorine:ppm <br />Cyanuric acid:ppm <br />Temp:º F 70 <br />Greater than 8 <br />0 <br />Less than 30 Combined chlorine:ppm <br />Page 1 of 2EHD 36-01 Rev. 09/16/2020 Swimming Pool OIR <br />FA0002794 PR0360127 SC001 07/26/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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