Laserfiche WebLink
BOARD of TRUSTEES SAN JOAQUiN LOCAL HEALTH DISTRICT SERVING <br /> City of Lodi <br /> James Culbertson, Pres. <br /> San Joaquin County <br /> Patricia E. Vannuccl, Sec'y., <br /> 1601 EastHazelton Avenue, P. O. Bax 200'9 City of Eseaian <br /> Anthonette Van Spronsen City of Manteca <br /> Earl Pimentel Stockton, California 95201 <br /> City of <br /> Fern Bugbee 2091466-6781 <br /> Daniel L. Flores City of Stockton <br /> Ripon <br /> City of Tracy <br /> John D. Mast, M.D. <br /> William J. Wade Jogi Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> San Joaquin County <br /> Mary Anna Love <br /> Facility Name <br /> Address /;71� <br /> Date of InspectioInspector <br /> aeo o <br /> MONITORING ALTERNATIVE i15 A- <br /> iG <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 /> Pipeline leak detectors on pressurized piping. <br /> V Daily operational check of suction piping function. <br /> +�� Calibrated meters for inputs and withdrawals : <br /> Weights and Measures sticker <br /> v�Certification by qualified repairman <br /> Implementation of this monitoring alternative requires that the following CIRCLED items <br /> be completed by the specified dates. / <br /> Precision test(s) must be performed by w ��sy/ 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 immediatelyl with records maintaine <br /> at the facility for review. <br /> Document daily check of suction piping function starting immediately_. <br /> Submit quarterly statement to this office that allowable variation on inventory <br /> v <br /> reconciliation has not been exceeded or a list of dates and rias ions that <br /> exceeded allowable.* The first statement is due by <br /> 6) Dispenser meter(s) must be calibrated by ��-suo�Ated�, with copy of <br /> certification or Weights and Measures sticker nubto 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 <br />