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410A1to OF TRUSTEEa <br />Jamas C 1borlson. Prat. <br />Patricia E. vannuccl, Soc'y. <br />An4hon rll• Van Spronaan <br />Earl Plmonlal <br />Fern eupbee <br />Oeolel L. Flores <br />John 0. Most. M.0 <br />William J. Wada,[, j <br />Mary Anna Low / <br />SAN JC�UIN LOCAL HEALTH DISTRICT SEnvlNo <br />City of Lodi <br />1601 East Huelton Avenue, P. O. Box 2009. San Joaquin county <br />Stockton, CalltoTnla 95201' City of Escaton <br />City of Manteca <br />209/488-6781 city of Ripon <br />City of Stockton <br />JoQI Khanna, M.O., M.P.N„ Olalrlci Health of Tracy <br />ith 011lc.r San Joaquin County <br />San Joaquin County <br />Facility Name , 'po",\g9, CsfZVIC <br />Address Lf 0 -7.S G, (\�\ p, <br />Date of Inspection Inspector <br />S%/=lj i <br />MONITORING ALTERNATIVE 15 <br />__L_Annual precision test on tank(s) and piping. <br />I Daily inventory reconciliation with submission. of quarterly statement 'regarding <br />compliance with allowable variation. <br />--Lpipeline leak detectors on pressurized piping. <br />Daily operational check of suction piping function. <br />Calibrated meters for inputs and withdrawals: <br />V ifeights 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 />Ul Precision test(s) must be performed by —31—L-7 and results submitted to <br />this office within 30 days of the test. <br />0 Pipeline leak detectors must be installed on pressurized piping by 7 <br />sa 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 />ll�i`` reconciliation has not been exceeded or a list of dates and vari tions that <br />exceeded allowable.' The first statement is due by/ <br />Dispenser meter(s) must be calibrated by 1--31-3>7 with copy of <br />certification or Weights and Measures sticker number submitted to thin office. <br />If the above compliance dates cannot be met, contact this office prior to the specified <br />date. <br />If allowable daily <br />required actions. <br />3-86 DIST l <br />inventory variation is exceeded, refer to Section 2644(f) for <br />