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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WILLIAMS
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1452
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3600 - Recreational Health Program
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PR0360635
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COMPLIANCE INFO
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Last modified
4/21/2021 5:32:48 PM
Creation date
4/21/2021 3:07:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3600 - Recreational Health Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0360635
PE
3699
FACILITY_ID
FA0001550
FACILITY_NAME
MATADOR MOBILE HOME PARK
STREET_NUMBER
1452
STREET_NAME
WILLIAMS
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
14116024
CURRENT_STATUS
01
SITE_LOCATION
1452 WILLIAMS ST
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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„• SAN JOAQUIN COUNTY <br /> ENV )NMENTAL HEALTH DEPARTM; <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> + '. <br /> ;•%`oQaa Telephone:(209) 468-3420 Fax:(209)468-3877 Web:www.sjgovorg/ehd <br /> SWIMMING, POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: uo+ c N`Q I w, le TaFT Date: bl I_t <br /> Address: J2 VV(j `L�-(t1'(15 <br /> City; CA-10T) Zip Code: C1GJ20S <br /> Owner/Operator: lZ�61 tic) RIM jT\AS Telephone: <br /> Program Element: 2, Q Program Record: 5 Inspection Type: (LQ. <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&SafetCode Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> F1 Chlorinator 00� I S (z�i AGM W do fp <br /> ❑ Flowmeter t1 bulgy td ��1�(Q l� tS <br /> ❑ Gauges '_qw�e MUI 0a►n � CO S I S <br /> F-1 Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking& Coping <br /> ❑ Wade Pool-2 Main Drains <br /> ' SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs Ca"(A no, AAV (1 Q 2oq- 4w3-341-6 <br /> ❑ Lifeguard <br /> �S <br /> ❑ Pool/Deck Lighting 01h, <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers(Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> ❑ Showers <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 <br /> Influent: <br /> Time In: C) Received <br /> By: ns ected <br /> Effluent: Time Out: I ' (� MU I LJ • <br /> EHD 36-01 5-6-12 SWIMMING POOL OIR Page of <br />
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