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BLIAA6 OF TRUSTEES SANw. OAQUIN LOCAL HEALTH DIST,, :T SERVING <br /> James Culbertson, Pres. City of Lodi <br /> Patricia E. Vannuccl, Secy. 1601 East Hazelton Avenue, P. O. BOX 2009 San Joaquin County <br /> Anthonette Van Spronsen City of Escalon <br /> Earl Pimentel Stockton, California 95201 City of Manteca <br /> Fern Bugbee 209/466-6781 Coy Ripon <br /> Daniel L. Flores City 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 /> Facility Name >4u�o�l /�/ iL� ��✓G% <br /> Address SD�O S // �✓ � S ✓ .. __ +���� 9�SJZGIo <br /> Date of Inspection y�34 ��o Inspector .�� � f <br /> MONITORING ALTERNATIVE 15 <br /> yl6i�,li�Jf <br /> lsTio �-��so ,� <br /> V/ 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 /> t/ Daily 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 /> 10 Precision test(s) must be performed by 713/l�� 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 /> 0 Document daily check of suction piping function starting immediately. <br /> 0. 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 <br /> V. Dispenser meter(s) must be calibrated by 7��/�y� 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 />