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COMPLIANCE INFO_PRE 2020
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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TRACY
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1690
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3600 - Recreational Health Program
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PR0360402
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COMPLIANCE INFO_PRE 2020
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Last modified
8/28/2024 1:21:44 PM
Creation date
8/28/2024 1:17:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3600 - Recreational Health Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2020
RECORD_ID
PR0360402
PE
3611
FACILITY_ID
FA0002959
FACILITY_NAME
COURTYARD VILLAGE
STREET_NUMBER
1690
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
23306201
CURRENT_STATUS
01
SITE_LOCATION
1690 TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Site address of pool(s) <br />Number of swimming poo/S,^spa pools, wagr s ols or specie/ purpose, pools at tlae site <br />C7-4, <br />I verify that I am the owner/home owner association president/legally responsible person for the <br />above named pool(s) and that I had the pool(s) inspected for compliance with Section 116049.1 <br />(a-f) of the California Health and Safety Code. <br />Piint name `R, atc_cr Kflt,E1) Date <br />3 fa) trn- <br />Signature rb RSAA-W,Al <br />Address caw / aokb 6r1P-IKr.Itb 945 grOd .,1411T-T° <br />City SALO AA.% ems • St Ci9 zip _.2.570- <br />Telephone 6_1.) 75T-- 47 9.7 <br />There is no pool light in this/these pool(s). Indicating there is no pool light means there <br />is no light fixture, light casing, or recessed light niche, whether working or <br />working, within the confines of the pool shell. <br />, 03/29/2000 13:01 12097544797 <br />PAGE 02 <br />PUBLIC HEALTH SERVICES <br />SAN JOAQUIN COUNTY <br />ENVIRON?vENTAL, HEALTH DIVISION <br />Karen Furst, M.D., M.P.H., Health Officer <br />304 EASE Weber Avenue, Third. Floor • Stockton, CA 95202 <br />209/468-3420 <br />VERIFICATION OF COMPLIANCE WITH CALIFORNIA HEALTH AND <br />SAFETY CODE, SECTION 116049.1 (a-f) <br /> gmmaidommisommoimmimirm—*—' <br />Please attach a copy of the completed and signed inspection permit or report front the local <br />building department and send to: <br />San Joaquin County <br />Public Health Services <br />Environmental Health Division <br />Recreational Health Program <br />304 East 'Weber Avenue, Third Floor <br />Stockton, CA 95202 <br />A Div;sion cif San Joaquin County Care Scriicts
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