Laserfiche WebLink
� <br /> BOARD OF TRUSTEES SAw*'JOAQUIN LOCAL HEALTH DIS4CT SERVING <br /> clly of Lodi <br /> James Culbertson, Pre@. San Joaquin County <br /> Patricia E. Vannuccl, Secy. 1601 East Hazelton Avenue, P. O. Box 2009 City of Escalon <br /> Anthonette Van Spronsen Stockton, California 95201 City of Manteca <br /> Earl Plmentel City of Ripon <br /> Fern Bupbee 209/466-6781 City of Stockton <br /> Daniel L. Flores City of Tracy <br /> John D. Mast, M.D. <br /> William J. Wade Jo01 Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> San Joaquin County <br /> Mary Anna Love <br /> Facility Name �io <br /> Address / 7gla d, <br /> Date of Inspection /1)-'] �V� Inspector tti <br /> MONITORING ALTERNATIVE ,95 <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 /> i./ Calibrated meters for inputs and withdrawals: <br /> LXWeights 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 /> /} Precision tests) must be performed by and results submitted to <br /> l/ this office within 30 days of the test. <br /> OV j2; Pipeline leak detectors must be installed on pressurized piping by ?65 71� <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 /> & Submit quarterly statement to this office that allowable variation on inventory <br /> reconciliation has not been exceeded or a list of dates and var' tions that <br /> exceeded allowable.* The first statement is due/by // /I /rS& <br /> KaDispenser meter(s) must be calibrated by 2 &1/9with copy of <br /> V 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 LIST 1 <br />