Laserfiche WebLink
BOARD OF TRUSTEES SAN PAQUIN LOCAL HEALTH DISTRICT SERVING <br /> James Culbertson, Pres. City of Lodi <br /> Patricia E. Vannuccl, Sec'y. 1601 East Hazelton Avenue, P. O. Box 2009 San Joaquin County <br /> Anthonette Van Spronsen City of Escalon <br /> Earl Pimentel Stockton, California 95201 city of Manteca <br /> Fern Bupbee 209/466-6261 City of Ripon <br /> Daniel L. Flores City of Stockton <br /> John D. Mast, M.D. City of Tracy <br /> William J. Wade Jopl Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Mary Anna Love San Joaquin County <br /> Facility Name CY (2�Cy <br /> Address Qk 1 -TFt� 50 N IY SS' CoA --- 4- w V zUS <br /> Date of Inspection 2—�—�/ Inspector <br /> MONITORING ALTERNATIVE 15 <br /> nnual 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 /> Zaily operational check of suction piping function. <br /> (/Calibrated meters for inputs and withdrawals: <br /> Weights and Measures sticker <br /> tification by qualified repairman <br /> Implementation of this monitoring alternative requires that the following CIRCLED items <br /> be completed by the specified dates. <br /> f A Precision test(s) must be performed by bl— -7 30 —�/ 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 /> �4 Document daily check of suction piping function starting immediate. <br /> /51 Submit quarterly statement to this office that allowable variation on inventory <br /> reconciliation has not been exceeded or a list of dates and variations that <br /> exceeded allowable.* The first statement is due by 3- 30- 97 <br /> 06. Dispenser meter(s) must be calibrated by 5 -- 3 0 —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 />