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— _...,.._ ... ...__.___ Jlll�JflV V11� LV VlI� I IL../1L111 ✓IV, �1 - +ul.,nu <br /> James Culbertson, Pres. City of Lodl <br /> Patricia E. Vannuccl, Secy. San Joaquin County <br /> Anthonetle Van Spronsen 1601 East Hazelton Avenue, P. O. Box 2009 City of Escalon <br /> Earl Pimentel Stockton, California 95201City of Manteca <br /> Fern Bupbee 209/466-6781 City of Ripon <br /> Daniel L. Flores City of Stockton <br /> John D. Mast, M.D. City of Tracy <br /> William J. Wade Joill Khanna, M.O., M.P.H., District Health Officer San Joaquin County <br /> Mary Anna Love San Joaquin County <br /> Facility Name 4/r p <br /> Address o� (�� �t fay <br /> Date of Inspection 0.0 Inspector <br /> MONITORING ALTERNATIVE #5 <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 /> ly operational check of suction piping function. S tcfirM— <br /> Calibrated meters for inputs and withdrawals: <br /> Weights and Measures sticker <br /> L- 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 and 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 /> 3. 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 _,�qpl- /_L I? _. <br /> 6. Dispenser meter(s) must be calibrated by � pQpQ�� with copy of <br /> certification or Weights and Measures stickerber s bmitted 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 /> EH 23 001 3/86 <br />