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DoAl'to of TFtu1Tkfa SAN J UiN LOCAL HEALTH DISTRIC � <br /> J.rn.. C.utba neon. P.... - Rfrft;vtfga <br /> PalActa F. Vannu"I, S•c'y. City of Lodi <br /> ArAhoMtt• Van Slwonaan 1601 East Hatalton Avenue, P. 0. Bou 2009 _ S44 Joaquin Count y <br /> E.R P1+naental Stockton. Callfornla 95201C1fYof Eaealon <br /> FMA augbaa Cltyof Mantoca <br /> Oa.nlel L. Floras 209I4-"781 city of Ripon <br /> John 0. M■st. M.O. �- .{{ City of Stockton <br /> WI111arn J. Wada Jogl Khanna, M.O.. M.P.H.. Olatrlcl Haa11h Officw City of Tracy <br /> Mary Anna low eell San Joaquin County <br /> San Joaquin County <br /> Facility Name H -f— m op, <br /> ------------- <br /> Address 0 T -� Gl ut C( q -2�/ <br /> Date of Inspection 1 -2--1 5"•-9( Inspector Z <br /> MONITORING ALTERNATIVE 95 <br /> Annual precision test on tank(s) and piping. <br /> V 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 /> s <br /> Weights and Measures sticker <br /> /Certification by qualified repairman <br /> Implementation of this: ltwitoring alternative requires that the following CIRCLED items <br /> be completed by the specified dates. <br /> Precision test(s) must be performed by � ' :] 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 /> 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 /> (D 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 <br /> { b.! Dispenser meter(s) must be calibrated by _/� U _ _ _ with co of <br /> Py <br /> certification or Weights and Measures sticker number subrniited 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 I <br />