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SOAAD Of.TRUSTE" SAN-�\WU1N LOCAL HEALTH DISTRI`-=" SERVING <br /> James Culbartaon, I"$. . City of Lodi <br /> PatrWA E. Vannuoci, Secy. 160YEast Hazelton Avenue, P.O. Box 2009 � San Joaquin County <br /> AnthorWte Van Sproneen City of Eacalon <br /> Earl Plmentel Stockton,California 95201 City of Manteca <br /> Fern Bugbse 209/4$8$781 City of Ripon <br /> Daniel L. Floras City of Stockton <br /> John D. Most. M.D. City of Tracy <br /> William J.Wade Jogl Khanna, M.D.. M.P.H., Dlstrtd Health Officer San Joaquin County <br /> Mary Anna Low San Joaquin County <br /> Fac i 1 i ty Name1.-L- <br /> Address VV/ ` <br /> Date of Inspection (510 5� kO Inspector �4� 11110�F <br /> MONITORING ALTERNATIVE f5 <br /> L/ .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 detectoi:s on pressurized piping',i: A(0-F/I1O&NDS l/C/5�1(6/F�, <br /> Daily operational check of suction piping function. <br /> Vf Calibrated meters for inputs and withdrawals: <br /> Weights and Measures sticked, r �jTrC%clrr/Z 0(l Fre J`' k-,5, OC 6), <br /> Certification by qualified repairman <br /> Implementation of this. mbnitoring alternative requires that the following CIRCLED items <br /> be completed by the specified dates. <br /> Precision test(s) must be performed by 1k7 and results submitted to <br /> this office within 30 days of the test. ---------------- <br /> ---- _----_ <br /> 2 Pipeline leak detectors must be insta�led on pressurized piping by 6 >/Z <br /> 3. Daily inventory reconciliation must be started immediately, with records maintained <br /> at the facility for review. <br /> J/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 va i ions that <br /> exceeded allowable.* The first statement is due by <br /> 6. Dispenser meter(s) must be calibrated by ��IT/ � with copy of <br /> certification ,or W jqg s 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 11GT 1 <br />