Laserfiche WebLink
e0AR0 Of TRUSTEES SAN ; %QUIN LOCAL HEALTH DISTRI( _ sERVIHo <br /> Jamas Cun»Ason, Pros. <br /> Patricia E. vennuccl, Seer. City of foal <br /> Anthonetia van Spronsen 1601 East Hazelton Avenue, P. O. Box 2009 San Joaquin County <br /> Ear r9~101 Stockton, California 95201' Ggof Escalon <br /> Darn Daniel L. Flo Cltyof Manteca <br /> JohL. Flu. 209/I86-6781 City of Ripon <br /> WilliJohn D. Mast, M.D. City of Stockton <br /> Mary A J. Wade Jopl Khanna, M.O., M.P.H., District Health Officer City of Tracy <br /> Mary Anna low San Joaquin County <br /> San Joaquin County <br /> Facility Name <br /> Address 20 <br /> Date of Inspection Inspector <br /> MONITORING ALTERNATIVE 15 <br /> 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 /> Daily operational check of suction piping function, <br /> !/ Calibrated meters for inputs and withdrawals: <br /> -Weights and Measures sticker <br /> y 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 2� 'h' t _and results submitted to <br /> this office within 30 days of the test. <br /> � <br /> 2. Pipeline leak detectors must be installed on pressurized piping by <br /> �/ <br /> 1 3J Daily inventory reconciliation must be started immediately, with records maintained <br /> at the facility for review. <br /> V 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 an vaations that <br /> exceeded allowable. * The first statement is due by �S' <br /> Dispenser meter(s) must be calibrated byLJJ _with copy of <br /> certification or Weights and Measures stickeer S- bmitted to this office. <br /> If the above compliance dates cannot be met, contact this office prior to the specified <br /> date. <br /> i <br /> If allowable daily inventory variation is exceeded, refer to Section 2644( f) for <br /> required actions . <br /> 3-86 UGT 1 <br />