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- _ <br /> NO <br /> A <br /> BOARD OF TRUSTEES SAN-oOAQUIN LOCAL Hf_ALTH DISTRICT SERviNa <br /> .lames Culbertson.Pres. City of Lodi <br /> Patricia E.Vannuccl.S00. 1601 East Hazelton Avonue, P.O.Uox 2009 San Joaquin County <br /> a'. �= onette Van 5pronaon Clly of Eseafon <br /> 0=^4 ' Stockton, Callfornla 95201 City of Manteca <br /> i Pimaniel <br /> City of nlpon <br /> Fern ©ugboe 209/466-67$1 <br /> Daniol L. Flores City o!Stockton <br /> John D.Mast, M.D. City of Tracy <br /> Wllflam J.Wade Jopl Khanna,M.D..M.P.H., District Haetth Officer San Joaquin County <br /> Mary Anne Love San Joaquin County <br /> F a c i I ity Name <br /> Address D P� <br /> Date of Inspection /AZ Inspector <br /> MONITORING ALTERNATIVE ;i5 <br /> ✓Annual precision test on tanks) 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 /> " <br /> r,411y 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 /> (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 N/ <br /> Daily inventory reconciliation must be started iamediat_ely, with records maintained <br /> at the facility for review. <br /> Document daily check of suction piping function starting immediately. <br /> �7. Submit quarterly statement to this office that allowable variation on inventory <br /> reconciliation has not been exceeded or a list of dates and art,33-tions that <br /> exceeded allowable.* The first statement is due by <br /> 6 Dispenser ineter(s) must be calibrated by — with copy of <br /> certification or Weights and Measures sticker n mer su mitted to this office. <br /> If the above compliance dates cannot be met, contact this office.rior to t>tie s tcl <br /> date. <br /> If allowable daily inventory variation is exceeded, refer to Section 2644(f) for <br /> required actions. <br /> 3-86 UGT t <br />