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i <br /> IOARD OF TRUSTEES SAN JOA%IN LOCAL HEALTH DISTRICT . SER VINO <br /> Lrnb Culbertson, Prem. City of LodI <br /> ratrtcla E. Vannuccl,•Sec'y. 1601 East Hazelton Avenue, P. O. Box 2009 San Joaquin County <br /> 1n Montt• Von Spronmen City of Eaulon <br /> :ad Pimentel Stockton, Cal l torn l a 95201 City of Manteca <br /> :am Bupbee 209/466-6781 City of Ripon <br /> )snlel L. Flores City of Stockton <br /> IoM D. Mast. M.D. City of Tracy <br /> NIIRam J. Wade Jogi Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Bary Anna Low San Joaquin County <br /> Facility Name _T" OLaacf� S <br /> Address rJ 5— (lY, <br /> Date of Inspection 7 Inspector <br /> MONITORING ALTERNATIVE 35 <br /> V1 �Annual precision test_on tank(s). and .piping.:..;�: : <br /> JDaily inventory reconciliation with submission of quarterly statement regarding <br /> compliance with allowable variation. <br /> Pipeline leak detectors on pressurized piping. <br /> t//Daily operational check of suction piping function. <br /> V= Calibrated meters for-inputs and withdrawals: <br /> Weights and Measures sticker <br /> 1�Certification by qualified repairman <br /> Implementation of this monitoring alternative requires that the following CIRCLED items <br /> be completed by the specified dates. <br /> 0 Precision test(s) must be performed by — ( 4`nd results submitted to <br /> this office within 30 days of the test. <br /> QQ2. Pipeline leak detectors must be installed on pressurized piping by <br /> 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 bygg —7 <br /> GO Dispenser meter(s ) roust be calibrated by X-, — p 7 _with copy of <br /> certification or Weights and Measures stickember 'Ionnitted to this office. <br /> _ I <br /> If the above compliance dates cannot be met , contact this office prior to the specified <br /> date. <br /> If allowable daily inventory vari,ition is exr- oiled, refer to Section 2644( f) for <br /> required actions. <br /> 3-86 UGT 1 <br />