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*OA110 of TAVaTlQ• SAN .' UIN LOCAL HEALTH DISTRIC <br /> tE11Y1N0 <br /> J arwa• Culoirlaon, fra.. `yamrakic" �� GIy Ol Lodi <br /> ArAho^ E. v VonWoct. <br /> t«r. 1601 East Hatellon Avenue, P. 0. Boa 2009 San JaquinCounl <br /> AM1wndla V•n taom•n r <br /> E•A ►irnemelStockton, Callfornle 95201' Gtr of Eauton <br /> GIy of Manteca <br /> f«n aup0e• <br /> O anbt L. flore. 209/48"781 City of Ripon <br /> City <br /> John 0. Most. M.O. of Tracy CitStockton <br /> City of y <br /> WIIII•rn J. Wade Jopl Kn•nn•, M.O., f.1.r.N., DI•Irkl Nwlln 011tc« S•n Joaquin County <br /> Mary Anna low Sft Joaquin County <br /> Facility Name <br /> Address .� rl11j,-/ %TC1Vi <br /> Date of Inspection // 12r I,L Inspector <br /> MONITORING ALTERNATIVE !S <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 /> fipellne leak detectors on pressurized piping. <br /> Gaily operational check of suction piping function. <br /> V'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 /> 1 . Precision test(s) must be performed by �) –/` ' Y<' Ind results submitted to <br /> this office within 30 days of the test. <br /> Z-) Pipeline leak detectors must be installed on pressurized piping by <br /> ! Daily inventory reconciliation must be started inmediately, with records maintained <br /> at the facility for review. <br /> 4. 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 an aria tions that <br /> exceeded allowable. - The first statement is due by _7311 A <br /> 6. Dispenser meter(s) must be calibrated by /� /�,–' � p�r�Kl�Qith 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, refrr to Section 7644( f ) for <br /> required actions . <br /> 3-86 UGT 1 <br />