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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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SYLVAN
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2080
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3600 - Recreational Health Program
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PR0360560
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COMPLIANCE INFO
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Last modified
8/31/2021 3:49:39 PM
Creation date
8/31/2021 3:47:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3600 - Recreational Health Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0360560
PE
3611
FACILITY_ID
FA0000672
FACILITY_NAME
LAKESHORE MEADOWS APTS SOUTH
STREET_NUMBER
2080
STREET_NAME
SYLVAN
STREET_TYPE
WAY
City
LODI
Zip
95242
APN
05814019
CURRENT_STATUS
01
SITE_LOCATION
2080 SYLVAN WAY
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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SAN JOAQUIN COUNTY <br />ENVImONMENTAL HEALTH DEPARTMEI. r <br />"i 600 East Main Street, Stockton, CA 95202-3029 <br />.. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />�P <br />���FORN <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility:S' _ L� Date: -I -0 <br />Address: ` tf City: IA. Zip Code: q 57-92- <br />7-ZOwner/Operator: <br />Owner/Operator:z Telephone: _ <br />Program Element: mol Program Record: P b O O / Inspection Type: `R ;O <br />Fir Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Rei spection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />m' <br />El Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />r we -4K <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />0 Czxt 4) W r?,'44e,-1_ <br />❑ Pool Shell <br />❑ Fencing/Gates <br />, O 9 <br />❑ Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <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 />sPa <br />Influent: pyoN 25 <br />Effluent: '� <br />Time In: ���� <br />B slue B Inspect�e d/by: / <br />Time Out: <br />EHD 36-017-18-08 SWIMMING POOL OIR U <br />M <br />
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