Laserfiche WebLink
BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> James Culbertson, Pres. City of Lodi <br /> Patricia E. Vannuccl, Secy. 1601 East Hazelton Avenue, P. O. Box 2009 San Joaquin county <br /> Anthonetle Ven Spronsen City of Escalon <br /> Earl Plmentel Stockton, Cal I forn Is 95201 City of Manteca <br /> Fern Bupbee 209/466781 City of Ripon <br /> Daniel L. Flores City of Stockton <br /> John D. Mast, M.D. City of Tracy <br /> William J. Wade Jog] Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Mary Anna Love San Joaquin County <br /> Facility Name <br /> Address — -2, 6& (� LL� W' / q� <br /> Date of Inspection Inspector <br /> MONITORING ALTERNATIVE #5 21ZV G7 <br /> V Annual precision test on tank(s) and piping. <br /> _Daily inventory reconciliation with submission of quarterly statement regarding <br /> compliance with allowable variation. <br /> Nt ) Pipeline leak detectors on pressurized piping. <br /> l� Daily operational check of suction piping function. <br /> Calibrated meters for inputs and withdrawals: <br /> Weights and Measures sticker <br /> ✓Certification by qualified repairman <br /> Implementation of this monitoring alternative requires that the following CIRCLED items <br /> be completed by the specified dates. <br /> 1.. Precision test(s) must be performed by and results submitted to <br /> this office within 30 days of the test. <br /> 2. Pipeline leak detectors must be installed on pressurized piping by /(/ <br /> Daily inventory reconciliation must be started immediately, with records maintained <br /> at the facility for review. <br /> (43 Document daily check of suction piping function starting immediately. <br /> 05 Submit quarterly statement to this office that allowable variation on inventory <br /> reconciliation has not been exceeded or a list of dates an variations that <br /> exceeded allowable.* The first statement is due by an <br /> -F '11 <br /> C� p <br /> 6 Dispenser meter(s) must be calibrated by 3 —dr-0 7 with copy of <br /> certification or Weights and Measures sticker number submitted to this office. <br /> If the above compliance dates cannot be met, contact this office prior to the specified <br /> date. <br /> * If allowable daily inventory variation is exceeded, refer to Section 2644(f) for <br /> required actions. <br /> 3-86 UGT I <br />