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4,0AA0 OF CJtualtts SAN J,..aeotUIN L(X:AL'HEALTH 0ISTf1IGt.i+ <br /> J.... CMfbN.on, ♦,... 6ERVIN0 <br /> Palade E. vannu 1, S.c'r. Gty of Lodi <br /> AMho..efle Van Sp,ona.n 1601 East Hazelton Avenue, P. O. Box 2009 . San Joaquin county <br /> E 64 PU" l44 Stockton, Callffxnls 95201' Gtyof Eacaton <br /> F..n supb. City of Mant. <br /> D.nl.f L. Flo,.. 2091486-6781 City of Ripon <br /> John O. Maal, M.O. City of Stockton <br /> Nllllam J. Wade Joel Khanna, M.O., M.I.H., Olalrid Hwllh Offices City of Tfacy <br /> Wary Anna Low San Joaquin County <br /> San Joaquin County <br /> faeilfty Name l ��t `� T <br /> `� --�— <br /> Address l . .�.3 (, �r n u �� . • l fr �� <br /> Date of Inspection 1a Inspector <br /> MONITORING ALTERNATIVE !S <br /> ✓Annual precision test on tank(s) and piping. <br /> Daily A nventory reconciliation with submission of quarterly statement 'regarding <br /> compliance with allowable variation. <br /> Pipeline leak detectors on pressurized piping. <br /> V Daily operational check of suction piping function. <br /> V Calibrated meters for inputs and withdrawals: <br /> 4leights and Measures sticker <br /> Certification by qualified repairman <br /> Implementation of this. xlonitoring alternative requires that the following CIRCLED items <br /> be completed by the specified dates. <br /> 1 . Precision test(s) alust 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 I <br /> 30 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 /> J. Submit quarterly sf.aterrrn( to this office that allowable variation on inventory <br /> reconciliation has not been exceeded or a list of dates and variatio s that <br /> r����°;;;' exceeded allowable. . The first statement is due by LI - <br /> ri..� 01 Spenser meters ) runt be calibrated by _ - I with co of <br /> Ccrtif icatton or Weights and Measures it irkcr number submitted to this office . <br /> II Ute ebove cumpl fence dates cannot <br /> da U• . be net , contact lilts n( fire prior to the spec lf ,ed <br /> If allowable dally inventory verletion 1sexceeded. refer to Section 7644( f ) for <br /> required actions. <br />