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Environmental Health Department <br />Time In: <br />11:05 am <br />10:50 am <br />Time Out: <br />Program Element: 3611 - PUBLIC POOL/SPA - PRIMARY <br />Telephone: Owner/Operator: LAKESHORE VILLAGE <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 1550 S MILLS AVE, LODI 95242 <br />Date: 09/14/2021Name of Facility: LAKESHORE VILLAGE HOA <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 />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Flow rate:gpm <br />pH: <br />Chlorine:ppm <br />Cyanuric acid:ppm <br />Temp:º F 100 <br />7.4 <br />7.0 <br />0 Combined chlorine:ppm <br />NOTES <br />Influent: 17 psi <br />Effluent: 3 psi <br />No violations observed. <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:Phone:(209) 616-3032 <br />, <br />FRANCISCO RUIZ <br />Page 1 of 1EHD 36-01 Rev. 09/16/2020 Swimming Pool OIR <br />FA0000567 PR0360380 SC001 09/14/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD