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BOARD OF TRUSTEES <br />SAJQAQUIN LOCAL HEALTH DIS <br />SERVING <br />James Culbertson, Pres. <br />Date of <br />City of Lodi <br />Patricia E. vannuccl, Sec'y. <br />1601 East Hazelton Avenue, P. O. Box 2009 <br />San Joaquin County <br />Anthonette Van Spronsen <br />City of Escalon <br />Earl Plmentel <br />Stockton, Callfornla 95201 <br />City of Manteca <br />Fern BupboeCity <br />209/466781 <br />of Ripon <br />Daniel L. Flores <br />City of Stockton <br />John D. Mast, M.D. <br />City of Tracy <br />William J. Wade <br />Jopl Khanna, M.D., M.P.H., District Health Officer <br />San Joaquin County <br />Mary Anna Love <br />San Joaquin County <br />Facility Name C-Tapem &c <br />Address <br />�3qQ� I.I %)IC;Hmn4� <br />q�l �}{AMPn� �.H. <br />QJZZO <br />Date of <br />Inspection e4 A <br />g Inspector )-{esGy <br />1��r2f�l✓L <br />MONITORING ALTERNATIVE #5 <br />R,Ku o Annual precision test on tank(s) and piping. <br />Daily inventory reconciliation with submission of quarterly statement regarding <br />compliance with allowable variation. <br />R. KvpKfl 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 <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(w.i�,Ta'� 5 I` 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�jzk'upKFl�(o i -iia• <br />3. 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 />5. 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 -7715-q:c? <br />6. Dispenser meter(s) must be calibrated by 15-1-Q 9 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 />