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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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EHD - Public
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SAN JOAQUIN COUNTY <br />y ?� ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br />�.. P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />4L/PORN <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: S <br />-Vs <br />Soj-"-)Date: <br />Address: ;,_Oga J <br />city: <br />Lo l <br />Zip Code: <br />Owner/Operator: 'nA5 <br />ka n <br />Telephone: <br />Program Element: 3(ol 12 <br />Program Record: e-030O5(v O OS(o ( <br />Inspection Type: 4' <br />Flow Rate (gpm): <br />Fool ?0 <br />pH: <br />poo/ 7.q <br />C� <br />Chlorine (ppm): <br />Poo1 5PA- <br />g c4" 1. O <br />Cyanuric Acid (ppm): <br />mol 90 <br />5gL,5c7 <br />Temp: <br />S <br />Reinspection on or after: <br />2�t iJ-2,2 S <br />her: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />Filters <br />t <br />Q 5 I S <br />1. <br />Pumps <br />PrDw <br />i <br />Chlorinator <br />Er Flowmeter <br />Z e <br />[v]� Gauges <br />a U6n <br />n apA <br />t.J.(. u..1 i r- e- ric C4- <br />Skimmer & Gutters <br />0 Back Flow Prevention <br />[� Main Drain Cover <br />pia AC <br />ab <br />_.Z <br />[� Equalizer Line Cover5; <br />CONSTRUCTION <br />'? O015 <br />5 U rn rrt-a r L944C—S <br />IA_'ok 44-r Lk;Lcccj m <br />[� Pool Shell <br />Er Fencing/Gates <br />S m <br />(.® <br />I- <br />rJ 1 '- ro G -m <br />a Decking &Coping <br />I vtJ <br />r -n ear vj `i te,_+ <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />rj IS <br />er 5 <br />/'ri.b <br />Rescue Pole <br />I Cit t, <br />vi et.k , <br />[� Life Ring <br />Safety Signs <br />r <br />mor s i^ W t— <br />El Lifeguard �j Q- <br />�' Pool/Deck Lighting. <br />❑ Ladders/Hand Rails <br />So <br />a -s— <br />[- Depth Markers/Tiles <br />Uj ; W' r,Q <br />�aZ� <br />❑ First Aid Kits <br />[� Emergency Shut-off Switch <br />RESTROOMS <br />p r 4, <br />[� Showers <br />[� Toilet & Dressing <br />_ <br />W <br />[.� Ventilation <br />WATER QUALITY <br />Chlorine <br />[� pH <br />[a' Cyanuric Acid <br />Q Clarity <br />Eff Test Kits <br />MISCELLANEOUS <br />[D' Supervision & Control <br />General Sanitation <br />Algae <br />psi spm <br />Influent: Z.a 2,0\ <br />Effluent: a <br />I'imclnc1 D'2S Rec lived B <br />Inspected by: <br />EHD 36-015/26105 Page I of t <br />
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