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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WATERLOO
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4100
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3600 - Recreational Health Program
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PR0360089
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COMPLIANCE INFO
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Entry Properties
Last modified
4/22/2021 9:18:03 AM
Creation date
4/22/2021 8:30:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3600 - Recreational Health Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0360089
PE
3611
FACILITY_ID
FA0002128
FACILITY_NAME
CALIFORNIA INN
STREET_NUMBER
4100
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10118017
CURRENT_STATUS
01
SITE_LOCATION
4100 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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�.�I... SAN JOAQUIN COUNTY <br /> EN�II NMENTAL HEALTH DEPARTME <br /> 1868 East Hazelton Avenue, Stockton, CA 95201; 0uM <br /> Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT .(ADI-S95/v <br /> Name of Facility: -ol h Date: //Y)//1 <br /> Address: Ll I f-aCity: Zip Code: Amm y CU-/'7_ <br /> Owner/Operator: a /'yl l.{ 4-44(n // f Telephone: `Zj( — S / <br /> Program Element: Program Record: 19-5& 0(/ Inspection Type: " A-U <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection n or after: <br /> �Y'.e'�' to <br /> o '( . � 5 (e c� � Other: 1210 <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&SafetCode Violations and must be corrected as indicated: <br /> ❑ Filters <br /> Pumps I <br /> ❑ ,(�, <br /> E] Chlorinator 1 . S J U Q /1 WIi1lZA <br /> ❑ Flowmeter (�y L a <br /> [IGauges <br /> 171 ` <br /> �e <br /> i Skimmer&Gutters Alwict ✓l <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover n d YL <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> ❑ Pool Shell _ <br /> ❑ Fencing/Gates C C Ucywyo <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains rak, / V' <br /> SAFETY EQUIPMENT <br /> ❑ _Rescue Pole �. /Q� <br /> ❑ Life Ring 'q4( <br /> ❑ Safety Signs D <br /> ❑ Lifeguard tt-n <br /> ❑ Pool/DeckLighting rL ✓� f/�^ <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 /> - <br /> WATER QUALITY_.. <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS ( V Y ) // a'00( � <br /> E] Supervision it Control U-001, <br /> .�l0 lrb ✓✓✓✓✓✓✓ � / <br /> ❑ General Sanitation /� ,�/ L vl <br /> E) Algae W 4 h p { fWA `NO 1G1�1✓/Pl�x i <br /> Influent: a-s Of ddy"(SC Y p _ !z(C/X/� <br /> Time In: -11-47ReoeVle','By: I ed Effluent: nTime Out: r Vspec t� <br /> EHD 36-01 5-8-12 SWIMMING POOL OR Page I of <br />
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