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At <br /> BOARD OF TRUSTEES SAoCity of LodlAQUIN LOCAOEALTH DIST�'T SERVING <br /> James Culbertson, Pros. San Joaquin County <br /> Patrlcla E. Vannuccl, Secy. 1601 East Hazelton Avenue, P. O. Box 2009 City of E County <br /> Anthonette Van Spronsen City of Manteca <br /> calon <br /> Earl Plmeniel Stockton, California 95201 <br /> Fern Bugbee 209/466-6781 fity t Ripon <br /> Daniel L. Flores __ City <br /> oof Stockton <br /> John Q. Mast. M.D. City of Tracy <br /> William J. Wade Jopl Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Mary Anna Love San Joaquin County <br /> Facility Name -- <br /> Address U <br /> Date of <br /> 7Tnpection 46 Inspector <br /> MONITORING ALTERNATIVE #5ar 000�"Z I Z'- 12-1000 a'"'�" -� <br /> � U <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 /> Daily operational check of suction piping function. <br /> I�Calibrated meters for inputs and withdrawals: <br /> Weights and Measures sticker <br /> L-/ Certification by qualified repairman <br /> Implementation of this monitoring alternative requires that the following CIRCLED items <br /> be completed by the specified dates. <br /> l . Precision test(s) must be performed by - and results submitted to <br /> this office within 34 days of the test. <br /> 21, Pipeline leak detectors must be installed on pressurized piping by C/-+� � <br /> Daily inventory reconciliation must be started immediately, with records maintained <br /> at the facility for review. <br /> Document daily check of suction piping function starting immediately_. <br /> 51 Submit quarterly statement to this office that allowable variation on inventory <br /> reconciliation has not been exceeded or a list of dates a d variations that <br /> 60 exceeded allowable.* The first statement is due by —i <br /> Dispenser meter(s) must be calibrated by L//r- �_ 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 UGT 1 <br />