Laserfiche WebLink
aoAno of TRuaTIEa SAN JUIN LOCAL HEALTH DISTRIC SEeVINo <br /> Jamas Culbwlaon, Praa. 40 <br /> ralfiCit <br /> of <br /> di <br /> Anfhon tt Vannuccl, sac'y. 1601 Eaet Hazelton Avenue P. 0. Box 2009 San Joaquin County <br /> AMhonalb Van Spronwn ' <br /> ENA Phnantoi Stockton, Callfornla 95201' City m Manteca Gtyof Eacalon <br /> scaion <br /> Fwn suQAaa <br /> Daniel L. Floras 209/486.6781 City of Ripon <br /> John D. Most. M.D. City of Stockton <br /> Wllllarn J. Wada Joel Khanna, M.D.. M.P.M.• District Maallh Olflcar City of Tracy <br /> San Joaquin County <br /> Mary Anna Low�� San Joaquin County <br /> Fac il ity Name �l�G d �'/�Gr/..✓ S S117e' t. <br /> Address / <br /> Date of Inspection / Z//_ f'G Inspector <br /> MONITORING kLTERNATIVE 05 <br /> Znnu 1 precision test on tank(s) and piping. <br /> ily inventory reconciliation with submission of quarterly statement 'regarding <br /> compliance with allowable variation. <br /> VPipeline leak detectors on pressurized piping. <br /> /Daily operational check of suction piping function. <br /> y 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 /> V Precision test(s) oust be performed by / -30 - 77-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 1-369- 97 - <br /> 3. Daily inventory reconciliation must be started innediately, with records maintained <br /> at the facility for review. <br /> 4. Document daily check of suction piping function starting immediately. <br /> Submit quarterly statement to this office that allowable variation on inventory <br /> reconciliation has not been exceeded or a list of dates and variation that <br /> exceeded allowable. ' The first statement is due by � — :?o —01 <br /> ( b/ Dispenser meter(s) roust be calibrated by 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 1 <br />