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r: � I I I Environmental Health Department <br /> Y SA N U <br /> r �Z wti <br /> —COUNTY— <br /> O U N T Time In: 11-05 am <br /> Time Out: 11:30 am <br /> c�`�� Greotr+ess �rGws here. <br /> Swimming Pool Service Request Inspection Report <br /> Name of Facility: HOLIDAY INN EXPRESS HOTEL Date: 03/21/2022 <br /> Address: 3751 N TRACY BLVD , TRACY 95376 <br /> Requestor: BURKETT'S POOL PLASTERING Telephone: (209)624-2921 <br /> Program Element: 3602-POOL/SPA REPAIR/REMODEL PLAN CHK Request#: SR0080782 <br /> Inspection Type: 523-Plan Check/Report Review <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 /> NOTES <br /> Pool and spa remodeled (outlet covers were replaced) <br /> Burketts representative called me informed that the outlet covers were replaced.Verified all the covers were replaced with <br /> aquastar A10RCFR. Pool and spa are in compliance. <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: VIDAL PEDRAZA Phone: (209)616-3020 <br /> FA0012172 SR0080782 SC523 03/21/2022 <br /> EHD 36-01 Rev.09/16/2020 Page 1 of 1 Swimming Pool Service Request Inspection Report <br />