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SAN J O A Q U I N Environmental Health Department <br />— CUUNTY— <br />r.J, , Time In: 7 5n am <br />Grcntness grov;<)i,( <br />- Time Out: 8:30 am <br />Swimming Pool Official Inspection Report <br />Name of Facility: SHADOW LAKE MOBILE HOME PARK LLC <br />Date: 06/24/2020 <br />Address: 5100 N HWY 99, STOCKTON 95212 <br />Owner/Operator: SHADOW LAKE MOBILE HM PRK LLC <br />Telephone: (707) 864-0269 <br />Program Element: 3612 - PUBLIC POOL/SPA- ADDITIONAL <br />Inspection Type: INSPECTION/REINSPECTION (Chargeable) <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 sections) 116043, 116040, 8 <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: <br />Cyanuric acid: <br />50 <br />30 <br />gpm Chlorine: 2 1 <br />ppm pH: 7.4 <br />Temp: ° F <br />Combined chlorine: ppm <br />NOTES <br />Re -inspection conducted this date. Free chlorine are tested to be in compliance. The underwater light was fixed and secured. <br />Influent: 10 psi; Effluent: 8 psi. <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 rete. <br />Received by: <br />EH Specialist: <br />w <br />Name and Title: <br />STEVEN SHIH Phone: <br />Alex Cortez Jr., Maintenance <br />468-9850 <br />FA0002794 PRO360256 SC333 06/24/2020 <br />EHD 35-01 Rev. 06/30115 Page 1 of 1 Swimming Pool OIR <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />