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• i <br /> BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> James Culbertson, Pres. City of Lodi <br /> Patricia E. Vannuccl, Secy. 1601 East Hazelton Avenue P. O. Box 2009 San Joaquin County <br /> Anthonette Van Spronsen City of Escalon <br /> Earl Plmentel Stockton, California 95201 city of Manteca <br /> Fern l L. Fl 209/466-6781 y Ripon <br /> Daniel L. Flores Cit of c <br /> John D. Mast, M.D. City it Stockton <br /> City of Tracy <br /> William J. Wade Jopl Khanna, M.D., M.P.M., District Health Officer San Joaquin County <br /> Mary Anna Love �1 --Ty San Joaquin County <br /> Facility Name C (-�f�igNF,(�. Aiz Ceaut7ot%j WG' , :�Nc' <br /> Address rj "2� /1 r�i Gtit l M� f LIQ S-(, <br /> Date of Inspection Inspector TiY�C <br /> MONITORING ALTERNATIVE #5 <br /> OR <br /> t 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 /> // Calibrated meters for inputs and withdrawals: <br /> Weights and Measures sticker <br /> t- 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 - G—rand 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 /> Daily inventory reconciliation must be started immediately, with records maintained <br /> at the facility for review. <br /> 40 Document daily check of suction piping function starting immediately. <br /> 01. 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 I --7 a--Y 7r <br /> 0 Dispenser meter(s) must be calibrated by 3 —2 a—dr;> with copy of <br /> certification or Weights and Measures sticker number submit ed 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 />