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ouwnu OF IHUbI ttb SAN X UUIN LUI:AL HtALI H UISI Hll:' SERVING <br /> James Culbertson, Pres. <br /> Patricia E. Vannuocl, Secy. City of Lodi <br /> Anthonette Van Spronsen 1601 Mt Hazelton Avenue, P. O. Box 2009 San Joaquin County <br /> Ead Plmen'el Stockton, California 95201 City of Escalon <br /> Fern Bupbee City of Manteca <br /> Daniel L. Flores 209/46"781 City of Ripon <br /> City of Stockton <br /> John D. Masi, M.O. City of Tracy <br /> William J. Wade Jopl Khanna. M.D., M.P.H., District Health 011lce( San Joaquin County <br /> Mary Anna Low San Joaquin County <br /> Facil ity Name <br /> Address �o ( �e ✓ Or) K c S� �mti <br /> Date of Inspection c,_� -A2 2 7 Inspector r y lcz j c4e-T Ore+ � a cn ► r <br /> MONITORING ALTERNATIVE #5 <br /> Annual precision test on tank(s) and piping. <br /> ✓Daily inventory reconciliation with submission of quarterly statement regarding <br /> compliance with allowable variation. <br /> Pipeline leak detectors on pressurized piping. <br /> wily operational check of suction piping function. <br /> r/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 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 /> ;reconciliation <br /> Document daily check of suction piping function starting immediately. <br /> Submit quarterly statement to this office that allowable variation on inventory <br /> has not been exceeded or a list of dates and variations that <br /> exceeded allowable.* The first statement is due by 7 — / S—�4 7 <br /> 6. 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 /> 3-86 UGT 1 <br />