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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> James Culbertson, Pres. City of Lodi <br /> Patricla E. Vannuccl, Secy. Sen Joaquin County <br /> Anthonette Van Spronsen 1601 East Hazelton Avenue, P. O. Box 2009 City of Escalon <br /> Earl Pimentel Stockton, California 95201 City of Manteca <br /> Fern Bugbee 209/466-6781 City Ripon <br /> Daniel L. Flores Clty of Stt ockton <br /> John D. Mast, M.D. City of Tracy <br /> William J. Wade Jogl Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Mary Anna Love / San Joaquin County <br /> Faci 1 i ty Name �S &/ r_,Y7 9DD6 7 - Cjw.r21e If <br /> Address <br /> Date of Inspection Inspector _ <br /> MONITORING ALTERNATIVE #5 ra'gjes &'j92J# ,# 3 <br /> Annual precision test on tank(s) and piping. <br /> I�Daily inventory reconciliation with submission of quarterly statement regarding <br /> compliance with allowable variation. <br /> Pipeline leak detectors on pressurized piping. <br /> i/Daily operational check of suction piping function. <br /> _Calibrated meters for inputs and withdrawals: <br /> _k,�eights and Measures sticker <br /> Certification by qualified repairman <br /> Implementation of this monitoring alternative requires that the following CIRCLED items <br /> e completed by the specified dates. /�� G' � � <br /> /yef; yjof <br /> 1`. Precision test(s) must be performed by 9& 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 /> Daily inventory reconciliation must be started immediately, with records maintained <br /> at the facility for review. <br /> l.% Document 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 5-/5_- <br /> 6. <br /> /5_-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 actions. <br /> 3-86 <br />