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s - <br /> rMUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERvtua <br /> Jamas Culbertson, Pram. City of Lodi <br /> Patrlcra E. Vannuccl,Secy. 1601 East Hazelton Avenue,P.0. Box 2DD9 San Joaquin County <br /> Anthonolle Van sptonsan City of Escalon <br /> '-art Plmeniel Stockton, Callfornia 95201 City of Manteca <br /> Fern 6ugbee 2091466-6781 City of Ripon <br /> Daniel L, Flores City of Stockton <br /> John D. Mast, M.D. City of Tracy <br /> William J.Wade Jog[Khanna, M.D.,M.P.H., District Health Officer San Joaquin County <br /> Mary Anna Love San Joaquin County <br /> Faci i i ty Name ��/� /CL �� f�/��P/�f/j <br /> Address /loo ^ /r- r* 12Z11 �--- <br /> Date of Inspection Inspector PiI2l -&,g <br /> MONITORING ALTERNATIVE ifs <br /> •V""Annual precision test on tank(s) and piping. <br /> Daily inventory reconciliation with submission of quarterly statement regarding <br /> c--mpliance with allowable variation. <br /> ^[Pipeline leak detectors on pressurized piping. <br /> y Daily 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 /> 0 Precision test(s) must be performed by ���o ��- 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 /> Document daily check of suction piping function starting immediet-ely. <br /> Submit quarterly statement to this office that allowable variation on inventory <br /> reconciliation has not been exceeded or a list of dates and yyari tions that <br /> exceeded allowable.* The first statement is due by 71-?d 4-11 <br /> Dispenser meter(s) must be calibrated by with copy of <br /> certification or Weights and Measures sticker number submitted to this office. <br /> — --_-__ ---_-- - -I_f-the-above-compliance-dates_cannot--be-met,_contact_this-office-pr-ior__to_-the__specified _ ---_ <br /> date. <br /> * If allowable daily inventory variation is exceeded, refer to Section 2644(f) for <br /> required actions. <br /> P_R6 <br /> i <br />