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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SYLVAN
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2080
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1600 - Food Program
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PR0360561
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Last modified
8/19/2021 1:28:46 PM
Creation date
8/19/2021 1:25:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0360561
PE
3612
FACILITY_ID
FA0000672
FACILITY_NAME
LAKESHORE MEADOWS APTS SOUTH
STREET_NUMBER
2080
STREET_NAME
SYLVAN
STREET_TYPE
WAY
City
LODI
Zip
95242
APN
05814019
CURRENT_STATUS
01
SITE_LOCATION
2080 SYLVAN WAY
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: 1,otke4orrJ d LAW--, Date: 96'3- % 2- <br /> Address: <br /> Address: S' G (Jei City: Zip Code: 15-7147-, <br /> Owner/operator: Lakes M,p�d..prs k . Telephone: <br /> Program Element:-561 (1-36f2_ Program Record: o'3(erj 6cy O' Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(qpm): Cyanuric Acid(ppm): Temp: Reinspection on or after <br /> t, <br /> Pool 7O 7, Z .2 O other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters -Fka <br /> ❑ Pumps07) <br /> cel" t r <br /> ❑ Chlorinator joke <br /> ❑ Flowmeter <br /> ❑ GaugesINcs c16- Cw( ca a, <br /> ❑ Skimmer&Gutters fin• _ licit Iwtrwt C.4/ <br /> ❑ Back Flow Prevention f� ( �� <br /> ❑ Main Drain Cover CID <br /> 1 �I' ck .c JQ C 1 1' Kl <br /> ❑ Equalizer Line Cover fl A. en�j Sp(lh <br /> CONSTRUCTION <br /> El Pool Shell ��- ( ' 1✓tom 4a�' x,,.! Q' <br /> ❑ Fencing/Gates r—ict s S r ( A cC <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains i CS . P1 OV <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs 77-11-r— lore.. #LQ Qrx4on <br /> ❑ Lifeguard fr <br /> ElPool/Deck Lighting �1h <br /> ❑ Ladders/Hand Rails 1 < <br /> ❑ Depth MarkersMIes r 1 <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch ++ y� <br /> RESTROOMS 1� G� <br /> ❑ Showers k_5 CA c �� Ihls C4 <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 /> ❑ General Sanitation <br /> ❑ Algae Influent: PL) l <br /> OA <br /> Time ln: Z ; L Rece' ed y: Inspected by: <br /> Effluent: ..L Time Out: 3 c y o <br /> EHD 38.015-8-12 SWIMMING POOL OIR Page of <br />
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