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•nw• ri.11t»A&on, Pf&&. <br />elect& E. v&nnuccl, Sec'► <br />nlhonelta Van SP(On&en <br />MA rtR1&nl&1 <br />ern aupW& <br />enl&1 L. Flores <br />ohn O. Mae(, M.D. <br />llll&T J. W6414&ry Anna low <br />Facility Name <br />Address <br />1601 East Hazelton Avenue, P. 0. 80K 2009 , <br />Stockton. California 95201' <br />209/486-6781 <br />Joel Kh&nna, M.O., M.P.N., olaidcl Nwllh Offkw <br />M <br />aERVINO <br />Gly of Lodi <br />San Joaquin County <br />Cllyof Elulon <br />Cltyof Manteca <br />City of Ripon <br />City of Stockton <br />City of Tracy <br />San Joaquin County <br />San Joaquin county <br />Date of Inspection inspector o.(-Cta Ce lRco L'O <br />MONITORING ALTERNATIVE 15 <br />1✓ 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 />Weights and Measures sticker <br />✓Certification by qualified repairman <br />Implementation of thisimoriitoring alternative requires that the following CIRCLED items <br />be completed by the specified dates. <br />1: Precision test(s) must be performed by — ( 5—f' % and results submitted to <br />9 <br />this office within 30 days of the test. <br />2. Pipeline leak detectors must be installed on pressurized piping by <br />3� Daily inventory reconciliation must be started immediately, with records maintained <br />at the facility for review. <br />D <br />O <br />Document daily check of suction piping function starting immediately. <br />Submit Quarterly statement to this office <br />reconciliation has not been exceeded or a <br />exceeded allowable.' The first statement <br />that allowable variation on inventory <br />list of dates d variations that <br />is due by —LS -7 _ <br />06- 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 />]-86 UGT 1 <br />w�..,,. S . .:., z--, ..., -- , 7-1-1-11-11- , - <br />