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Environmental Health Department <br />Time In: <br />11:15 am <br />10:50 am <br />Time Out: <br />Program Element: 3612 - PUBLIC POOL/SPA - ADDITIONAL <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: 07/17/2023Name 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 /> #3 Safety Signs <br />OBSERVATIONS: Safety sign information is faded. Provide legible information on safety sign today. <br />CALCODE DESCRIPTION: Pool operator shall keep safety signs well maintained. (CCR 65535) Safety signs shall have clearly legible <br />letters or numbers not less than 4 inches high, unless otherwise specified. Safety signs shall be affixed to a wall, pole, gate, or similar <br />permanent structure in a location visible to all pool users, unless otherwise specified. (CBC 3120B) <br /> #7 Pool Deck <br />OBSERVATIONS: Weeds growing on cracks along deck. Clean deck and repair/resurface within 1 week. <br />CALCODE DESCRIPTION: An unobstructed 4-foot wide deck of concrete or like material shall be provided and maintained flush with the <br />top of the pool coping. Deck shall extend completely around the pool and shall further extend 4 feet on both sides and to the rear of any <br />diving board, ADA device, or slide. (CBC 3114B) Pool operator shall keep the pool deck well maintained. (CCR 65535) <br /> #30 Pool Equipment and Plumbing Maintained <br />OBSERVATIONS: There is a leak from the water line in the pool equipment room. Repair leak within 1 week. <br />CALCODE DESCRIPTION: All equipment related to pool operations shall be installed and maintained in accordance with manufacturer's <br />specifications and shall comply with applicable requirements established by applicable NSF/ANSI-50 performance standards. (CBC <br />3123B) <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 />7.2 <br />2.0 <br />60 Combined chlorine:ppm <br />NOTES <br />Routine inspection. <br />Influent: 8 PSI <br />Effluent: 8 PSI <br />Page 1 of 2EHD 36-01 Rev. 09/16/2020 Swimming Pool OIR <br />FA0002794 PR0360256 SC001 07/17/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD