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80A11110 Of TRUSTEES SANNUIN LOCAL HEALTH DISTRO SERVING <br /> James Cuibertson, Pres. City of LodI <br /> Patricia E. Vannuccl, Secy. San Joaquin County <br /> 1601 Cas! Hazelton Avenue, P. C. Box � ��,� <br /> Anthonatte van Spronsen f City of Eacalon <br /> Earl Plrnanlel Stockton, California 95201 i4 E ;.T J ity of Manteca <br /> Fern Bugbee 2091466-6781 Cof Ripon <br /> oy <br /> Daniel L. Flores J A N 2 , lty of Stockton <br /> John D. Mast, M.D, City of Tracy <br /> William J. Wads Jog[ Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Mary Anna Love fdUiltCMirtiTAL EI zr'.'§f"oaqulnCounty <br /> FERMI /SERVICES <br /> Facility Name U(k L rECIV - C* <br /> Address l Z,)(5�7 72, <br /> Date of Inspection Inspector Ac C <br /> MONITORING ALTERNATUE #5 <br /> V---Annual precision test on tank(s) and piping. <br /> k___Daily inventory reconciliation with submission of quarterly statement regarding <br /> compliance with allowable variation. <br /> Pipeline leak detectors on pressurized piping. <br /> i <br /> aily operational check of suction piping function. <br /> 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 /> Precision test(s) must be performed by rl v! 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 /> L:%' Daily inventory reconciliation must be started immediately, with records maintained <br /> at the facility for review. <br /> 4.1 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 by <br /> 6 Dispenser meter(s) must be calibrated byith copy of <br /> certification or Weights and Measures sticker number submitted 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 />