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e0A/10 Of TRUSTEE& SAN JC 'JUIN LOCAL HEALTH DISTRIC� <br /> SE11V1Na <br /> James Cultseh•on, Noe. GtyofLoal <br /> Anther. v r,ocf, a y. 1601 East Hazelton Avenue, P. 0. Box 2009 S`^JaquMCounty <br /> A Mhoneftll• Van Spon*•n <br /> Eah psmenlal Stockton, California 95201City of Eacalon <br /> Fenn aupbee Gly of Manteca <br /> O•nlol L. Flora 209/186-6781 City of Ripon <br /> City of Stockton <br /> John O. Mn•1, M.O. <br /> City William J. Wade Joel Khanna, M.D.. Maui.P.H., Olnrrict Health Offtcw San Joaquin <br /> Tracy <br /> Quin County <br /> Mary Anna Low San Joaquin County <br /> facility Name <br /> j _ _2 <br /> Address <br /> Date of inspection Inspector 1411 <br /> MONITORING ALTERNATIVE 15 <br /> V <br /> 1� <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 /> ,ZDaily operational check of suction piping function. <br /> f 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 /> UPrecision test(s) must be performed by /— 3a'4/ 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 /> UDaily inventory reconciliation must be started innediately, with records maintained <br /> at the facility for review. <br /> 4. Document daily check of suction piping function starting immediately. <br /> Sutxnit 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 /> Dispenser meter(s ) must be calibrated by _l— 3 G-- 7 with copy of <br /> certification or Weights and Measures sticker number submitted to this office. <br /> If Lhe above compliance dates cannot be met , contact this office prior to the specified <br /> date . <br /> I ( allowable daily inventory variation as exceeded, refrr to Section 7644( f ) (or <br /> required actions . <br /> 3-86 UGT 1 <br />