Laserfiche WebLink
SOARD OF TRUSTEES SAAOAQUIN LOCAL HEALTH DISTfHT SERVINO <br /> James Culbertson, Pres. City of Lodi <br /> Patricia E. Vannuccl, Secy. 1601 East Hazelton Avenue, P. O. Box 2009 San Joaquin County <br /> Anthonette Ven Spronsen City of Ehcalon <br /> Earl Plmentel Stockton, Calllornia 95201 City of Manteca <br /> Fern Bupbee 209/466-6781 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 /> Faci 1 i ty Name j� <br /> Address ���jy0`��i21i7ni7C�C Ci9 <br /> Date of Inspection Inspector —�%, 1� 1�U /�C' S. <br /> MONITORING ALTERNATIVE #5 <br /> G%Annual precision test on tank(s) and piping. <br /> `Daily inventory reconciliation with submission of quarterly statement regarding <br /> compliance with allowable variation. <br /> yPipeline leak detectors on pressurized piping. <br /> Daily operational check of suction piping function. <br /> ✓Calibrated meters for inputs and withdrawals: <br /> — L'-/Weights and Measures sticker <br /> Certification by qualified repairman <br /> Implementation of this rmnitoring alternative requires that the following CIRCLED items <br /> be completed by the specified dates. <br /> 1 . Precision test(s) must be performed by �l�q�tr u� and results submitted to <br /> this office within 30 days of the test. <br /> Pipeline leak detectors must be installed on pressurized piping by l0�3G <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 immediately. <br /> 5 Submit quarterly statement to this office that allowable variation on inventory <br /> reconciliation has not been exceeded or a list of dates and ariations that <br /> exceeded allowable.* The first statement is due by <br /> Dispenser meter(s) must be calibrated by �Q�D / 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 />