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•. ®. VY.V to"I. TI". <br />patriale L vannwol. �. <br />Anthonatte van sprOnue <br />od of . <br />fun ®uptee . <br />®anW L. flat" <br />John 0. Most. M.O. <br />Wllllam J. Walt <br />Mary Anna Low <br />(��� <br />Qate, CkYOIL*dl <br />160 0( Hatelton Avenue® P. . 2000 <br />ty k <br />Stoddon, Calfforpil Owl <br />city <br />City ofMNlioa. ' <br />200/46"781 City of on <br />City of Stockton <br />Jopi Khanna, M.O., M.P.H., District Haatth OffioarCity of Tracy <br />SM Sae Joaquin uin County <br />County <br />SHEET #1 <br />Facility Name San Joaquin General Hospital <br />Address 500 W..Hosgital Rd., French Camp <br />Date of Inspection 8-27-86 Inspector Laurie A. Cotulla <br />MONITORING -VXALTERNATIVE 115 TANKS #1 and #2 <br />Annual precision test on tank(s) and piping. <br />(ZDaily-inventory reconciliation with submission of quarterly statement ' <br />compliance with allowable variation. <br />_..._ <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 />Precision test(s) must be performed by g = 3 wand 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 />Daily inventory reconciliation must be started immediately, with records maintained <br />at the facility for review. <br />6DDocument 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 ,Q—j2—g"yZ- <br />9 <br />( 6.) Dispenser meter(s) must be calibrated bywith 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 11r,> > <br />