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•••....: vw•Vw1WNt• I two. <br />Patriciafa. VwAwool. goo. , <br />+alta van epwwoan <br />WWI ol <br />Foiw <br />ON" LF <br />John 0. Most. M.D. <br />wullain J. We" <br />Mary Anne Love <br />`•i •nAvwus. P.O. Box2009 <br />i <br />i.• <br />Joel Khanna, MA, M.P.N., District Health ollkar <br />CRY Of Lodi <br />San Jo"u% county <br />Cltyof Emoolon <br />C4 of MaMaoa <br />rya Rlpon <br />city of Stockton <br />City of Tracy <br />San Joaquin <br />county <br />8ru1 Joaquin <br />SHEET #1 - <br />Facility Name <br />San <br />Joaquin General <br />Hospital <br />Address <br />500 <br />W Hospital Rd., <br />French Camp <br />Date of Inspection 8-27-86 Inspector Laurie A. Cotulla <br />MONITOR NG ALTERNAT UE /5 TANKS #1 and #2 <br />Annual precision test on tank(s) and piping. <br />Oaily-inventory reconciliation with submission of quarterly stat tardin9 <br />compliance with allowable variation. <br />reg <br />Pipeline leak detectors on pressurized piping. <br />_ <br />(�/ Daily operational check of suction piping function. <br />alibrated meters for inputs and withdrawals: <br />Keights 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 test(s) must be performed by -- L-7and '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 />ODaily inventory reconciliation must be started immediately. with records maintained <br />at the facility for review. <br />Document daily check of suction piping function starting immediately. <br />0 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 F--7— <br />( 6. <br />��.-.-/� J 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 actions. <br />