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BOARD OF TkUSYIECS SAN JI.JAQuit\ 6-CjCF,t. ht-AL;h Dii�HILT stnvira <br /> James Cuioortson, Pros. City of Lodl <br /> Patricia E. Vannuccl, Secy. 1601 East Hazelton Avanue, P. U. Box 2009 San Joaquin Ccunty <br /> Anthonette Van Spronsen Cltycf Escaion <br /> Earl Pimentel Stockton, California 95201 City of Manteca <br /> Fern Bugbee 209/466-6781 City o;Ripon <br /> Danlai L. Flores City of Stockton <br /> John A. Mast, M.D. City m Tracy <br /> William J. Wade Jogi Khanna, M.D., M.P.H., District health Officer San Joaqun County <br /> Mary Anna Love San Joaquin County <br /> Facility Name <br /> Address <br /> Date of Inspection 9. <br /> Inspector � � � <br /> MONITORING ALTERNATIVE #5 <br /> __.Z:f�Annual precision test on 'tank(s) and piping. <br /> Daily inventory reconciliation with submission of quarterly statement regaraing <br /> compliance with allowable variation. <br /> ipeline leak detectors on pressurized piping. <br /> Daily operational check of suction piping function. <br /> `Calibrated meters for inputs and withdrawals: <br /> vl*`� 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 /> �. Precision test(s) must be performed by. and results submitted to <br /> this office within 30 days of the test. <br /> CJ` Pipeline leak detectors must be instdlled on pressurized piping by <br /> Daily inventory reconciliation must be started immediately, with records main-4ained <br /> at the facility for review. <br /> 4. Document daily check of suction piping function starting immeGiatel . <br /> 5. Submit quarterly statement to this office that allowable variation on is ventory <br /> reconciliation has not been exceeded or a list of dates and v riations that <br /> exceeded ai.l owabl e.* The first statement is due by _ rQf/ A <br /> ,6. Dispenser meter(s) must be calibrated by w4th copy of <br /> certification or Weight; and Measures stickler 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(-') •oor <br /> required actions. <br /> 3-86 UGT I <br />