Laserfiche WebLink
SCARD OF TRUSTEES SAOAQUIN LOCAL HEALTH DISTIW SERVING <br /> James Culbertson, Pres. City of Lodi <br /> E. Vannuecl, Secy. San Joaquin County <br /> PatriciaPat icia E. Van Sprouccl, Sen 1641 East Hazelton Avenue, P. 0. Box 2009 City of Escalon <br /> Earl onettePlmenV Stocktort, Ulfornla 95201 City of Manteca <br /> Fern Bugbee 209/466-6781 <br /> Daniel L. Flores _ _ City <br /> oof Stockton <br /> Ripon <br /> f _ <br /> John D. Mast, M.D. City of Tracy <br /> Jogi Khanna, M.D., M.P.H., District Health officer San Joaquin County <br /> William J. Wade <br /> 51" San,Joaquin County <br /> Mary Anna Love — <br /> Facility Name K4114 P <br /> Address 57 Ali , A,- t /`—'t t C bl-,— cI S <br /> Date of Inspection �2 — - c Inspector e5,-z,�,��— <br /> MONITORING ALTERNATIVE #5 <br /> Annual precision test on tank(s) and piping. <br /> ZDaily 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 /> Certification by qualified repairman <br /> Implementation of this monitoring alternative requires that the following CIRCLED items <br /> be completed by the specified dates. <br /> f Precision test(s) must be performed by r F 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 /> 03. 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 /> 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 — t <br /> 06. Dispenser meter(s) must be calibrated by with copy of <br /> certification or Weights and Measures sticker number stfbmitted 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 UCT 1 <br />