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JNI` •JNVUIIV LtJVNL t1CNLIl1UIJ1t' .1 SERVING <br /> ��ult»Aaon, Pros. <br /> Patricia E. Vannuoct, troy. City of Lodi <br /> AMhonetta Van spronaan 1801 East Hazelton Avenue, P. O. Box 2009 y San Joaquin County <br /> Earl Plawtoi Stockton, Callfornla 95201 Cityof Eacalon <br /> Fernaugboe City of Mantom <br /> DanW L. Floras 209/488$781 City of Ripon <br /> John 0. Mut, M.D. Cltyof8lockton <br /> William J. Wada Jogl Khanna, M.D., M.P.N., District Haalth oflkw City of Tracy <br /> Love Mary Anna LoSan Joaquin County <br /> San Joaquin County <br /> Facility Name Y ti/el ,1171 <br /> Address //- a , <br /> Date of Inspection Inspector _ 2L , �"; <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 /> Daily operational check of suction piping function. <br /> l//Calibrated meters for inputs and withdrawals: <br /> / Weights and Measures stickers,-r t•f�i <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 /> Precision test(s) must be performed by ev 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 /> V 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 /> 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 /> 'rr" Dispenser meter(s) must be calibrated by ! =,% �_7 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 /> 'lf�a°l+lowable daily inventory variation is exceeded, refer to Section 2644( f) for <br />'y required actions. <br /> 3-86 W;T 1 <br />