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PUBLIC HEALTH SERVICES ci-6� <br />SAN JOAQUIN COUNTYJOGI KHANNA M.D., M.P.H.Health Officer P.O. Box 2009 . (1601 East Hazelton Avenue) . Stockton, California 95201a� <br />(209) 468-3400 <br />Facility Name e0v PyaL <br />Address / 3D l-(y/�TEl� <br />Date of Inspection /g�qInspector gic/G`Ti2Ef/E�/� <br />MONITORING ALTERNATIVE #5 <br />/ Annual precision test on tank(s) and piping. <br />Daily inventory reconciliation with submission of quarterly <br />statement regarding compliance with allowable variation. <br />Pipeline leak detectors on pressurized piping. <br />Daily operational check of suction piping function. <br />Calibrated meters for inputs and withdrawals: <br />Weights and Measures sticker pf2 <br />Certification by qualified repairman <br />Implementation of this monitoring alternative requires that the following <br />CIRCLED items be completed by the specified dates. <br />1. Precision test(s) must be performed by and results <br />submitted to this office within 30 days of the test. <br />2. Pipeli e leak detectors must be installed on pressurized piping by <br />3. Daily inventory reconciliation must be started immediately, with <br />records maintained'at the facility for review. <br />4. Document daily check of suction piping function starting <br />immediately. <br />5. Submit quarterly statement to this office that allowable variation <br />on inventory reconciliation has not been exceeded or a list of <br />dates and variations that exceeded allowable. *The first statement <br />is due by _4 PA i L, r� f /qcc ( <br />6. Dispenser meter(s) must be calibrated by with a copy of <br />certification or Weights and Measures sticker number submitted to <br />this office. <br />If the above compliance dates cannot be met, contact this office prior to <br />the specified date. <br />* If allowable daily inventory variation is exceeded, refer to Section <br />2644(f) for required actions. <br />EH 23 001 4/89 <br />A Division of Sanfoaquin Cuunry Hea It It Care Services 0 <br />