Laserfiche WebLink
BOARD Of TRUSTEES SAN JO- ^,QUIN LOCAL HEALTH DIS I Hl(;' SERVING <br />James Culbertson, Pres. I City of Lodi <br />Patricia E. vannuccl, Secy. 1601 East Hazelton Avenue, P. O. Box 2009 San Joaquin County <br />Anthonetts Van Spronsen City of Escalon <br />Earl Plmentel Stockton. California 95201 City of Manteca <br />Fern Bupbee 209/466781 City of Ripon <br />Daniel L. Flores City of Stockton <br />John D. Mast, M.D. City of Tracy <br />William J. Wade Joel Khanna. M.D., M.P.N., District Health Officer San Joaquin County <br />Mary Anna Love San Joaquin County <br />Fac i 1 i ty Name AP -Co <br />Address "IS -7-75 S f a4o <br />Date of Inspection 7 Inspector W r wa t _ I� <br />MONITORING ALTERNATIVE #5 <br />V 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 />eights 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 />1. Precision test(s) must be performed by <br />this office within 30 days of the test. <br />and results submitted to <br />2. Pipeline leak detectors must be installed on pressurized piping by <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 variations that <br />exceeded allowable.* The first statement is due by <br />6. Dispenser- meter(s) must be calibrated by _` _ _ 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 i(:t ions. <br />3-86 UGT 1 <br />