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COMPLIANCE INFO
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1600 - Food Program
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PR0360468
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Last modified
6/15/2021 3:49:08 PM
Creation date
6/15/2021 3:46:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0360468
PE
3611
FACILITY_ID
FA0000711
FACILITY_NAME
TIFFANY ESTATES COA
STREET_NUMBER
250
STREET_NAME
GILBERT
STREET_TYPE
DR
City
RIPON
Zip
95366-2178
APN
26137033
CURRENT_STATUS
01
SITE_LOCATION
250 GILBERT DR
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Time In: 12.10 nm <br />lime Out: 12:40 PM <br />San Joaquin County <br />Environmental Health Department <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fay:.(209) 464-0138 Web: www .sioov.orolehd <br />Swimming Pool Official Inspection Report <br />Name of Facility: TIFFANY ESTATES COA Date: 09/18/2015 <br />Address: 250 GILBERT DR, RIPON 95366-2178 <br />Owner/Operator: MILLER, RICHARD L & CORALENE D Telephone <br />Program Element: 3611- PUBLIC POOL/SPA- PRIMARY <br />Inspection Type: INSPECTION/REINSPECTION 1 hr minimum <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. MI violations must be corrected within specified timeframe. Violations that we 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 /> <br />Flow rate: gpm Chlorine: PPm Temp: ° F <br /> <br />Cyanuric acid: 60 ppm pH: 7.8 Combined chlorine: <br />NOTES <br />This is a re-inspection. All violations have been corrected. <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 />!)-("rttS‘t•AllnU <br />Received by: Name and Title: Joan Gonsalves, Treasurer of the Bo <br />EH Specialist: KADEANNE LINHARES Phone: (209) 468-0330 <br />FA0000711 PR0360468 SC333 09/18/2015 <br /> PPm <br />Page 1 of 1 Swimming Pool OIR END 36-01 Rev. 06130115
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