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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> James Culbertson, Pres. City of Lodi <br /> Patricia E. Vannuccl, Sec'y. AA East Hazelton Avenue, P. O. Box 2� San Joaquin County <br /> Anthonette Van Spronsen City of Escalon <br /> Earl Plmentel Stockton, California 95201 City of Manteca <br /> Fern Bugbee 209/466-6781 City of Ripon <br /> C^a;el L. Flores City of Stockton <br /> :. Mast, M.D. City of Tracy <br /> William J. Wade Jogl Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> M -.;ma Love San Joaquin County <br /> cility. Name vt!(!lJi ' 7l7f�T//J4% f7� <br /> Adi..', oss_..> �r7� , '� fa vi, r• /� <br /> i <br /> Date Inspection - / ,;,, Inspector lbs - T 5 <br /> MONITORING ALTERNATIVE #5 <br /> ✓Annual precision test on tanks) and piping. <br /> '' -Daily inventory reconciliation with submission of quarterly statement regarding <br /> compliance with allowable variation. <br /> V-' Pipeline leak detectors on pressurized piping. <br /> Daily operational check of suction piping function. <br /> L,L_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 /> 1,,' Precision test(s) must be performed by a A4V 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 /> 34 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 /> 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 /> Dispenser meter(s) must be calibrated by /� �� with 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 /> 3-86UGT 1 <br />