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BOARDOF TRUSTEES SAN.)AQUIN.LOCAL HEALTH DISTF j SERVING <br /> James Culbertson, Pres. City of Lodi <br /> Patricia E. Vannuccl, Sec'y. 1601 East Hazelton Avenue P. O. Box 2009 San Joaquin County <br /> Anthonette Van Spronsen City of Escalon <br /> Earl Plmentel Stockton, Callfornla95201 City of Manteca <br /> Fern Supbee 209/488$761 City of Ripon <br /> Daniel L. Flores Clty of Stockton <br /> John D. Mast, M.D. City of Tracy <br /> William J. Wade Jopl Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Mary Anna Love San Joaquin County <br /> Facility Name _ [ /il(�Ar— �/' �{ irp�5r <br /> Address 70 <br /> Date of Inspection Inspector Z41it z� f-F t? S. <br /> r <br /> MONITORING ALTERNATIVE #5 <br /> _Annual precision test on tank(s) and piping. <br /> ___,:-�(aily 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 /> y Calibrated meters for inputs and withdrawals: <br /> ,/ Weights and Measures sticker ir JiCKfjel';, UFlt <br /> d Lr OL <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 :C&/18/7—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 /> 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 /> Dispenser meter(s) must be calibrated by j /L 7 with copy of <br /> 000{{{ 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 />