Laserfiche WebLink
BOARD OF TRUSTi <br />James Culbertson, <br />Patricia E. Vannuct <br />Anthonette Van Spi <br />Earl Pimentel <br />Fern Bugbee <br />Daniel L. Flores <br />John D. Mast, M.D <br />Wtlllam J. Wade <br />Mary Anna Love <br />Facility N <br />Address <br />Date of In <br />MONITORING <br />Annu <br />L,Dail <br />comp <br />Pipe' <br />Dail, <br />Cal it <br />Implemental <br />be completE <br />1. Precisi <br />this of <br />2/ Pipelin <br />1 <br />:3 Daily i <br />at the <br />4. Documen <br />SAN JOAQUIN LOCAL HEALTH DISTRICT <br />ON 1601 East Hai Ign Avenue <br />Phone 4 7$1 qb <br />STOCKTON, CALIFORNIA <br />INSPECTION REPORT <br />.1 <br />AR Mll illic 1 11121111111 211 SO <br />SERVINQ <br />City of Lodi <br />n Joaquin County <br />City of Escalon <br />City of Manteca <br />City of Ripon <br />City of Stockton <br />City of Tracy <br />Joaquin County <br />i Joaquin County <br />regarding <br />RCLED items <br />fitted to <br />Received Notice:l� <br />JOGI KHANNA, M.D. H, District Heal sof e5rpeo t{ ✓/ * <br />maintained <br />1-a -,,, W <br />Registered Sanitarian <br />EH OQ 20 7/85 <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 variations that <br />exceeded allowable.* The first statement is due by 5� <br />,LES: Dispenser meter(s) must be calibrated by�i; 1 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 />` <br />n� <br />s i <br />AR Mll illic 1 11121111111 211 SO <br />SERVINQ <br />City of Lodi <br />n Joaquin County <br />City of Escalon <br />City of Manteca <br />City of Ripon <br />City of Stockton <br />City of Tracy <br />Joaquin County <br />i Joaquin County <br />regarding <br />RCLED items <br />fitted to <br />Received Notice:l� <br />JOGI KHANNA, M.D. H, District Heal sof e5rpeo t{ ✓/ * <br />maintained <br />1-a -,,, W <br />Registered Sanitarian <br />EH OQ 20 7/85 <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 variations that <br />exceeded allowable.* The first statement is due by 5� <br />,LES: Dispenser meter(s) must be calibrated by�i; 1 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 />