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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br />James Culbertson, Pres. City of Lodi <br />Patricia E. Yannuccl, Secy.6 San Joaquin County <br />1 East Hazelton Avenue, P. O. Box 2 City of Escalon <br />Anthonette Van Spronsen Cit of Manteca <br />Earl Pimentel Stockton, California 95201 y <br />ipon <br />Fern Bugbee 209/466-6781 City of Stockton <br />City of <br />Daniel L. Flores City of Tracy <br />John D. Mast, M.D. <br />William J. Wade Jogl Khanna, M.D.. M.P.H., District Health Officer San Joaquin County <br />San Joaquin County <br />Mary Anna Love <br />FaciI ity Name f * <br />Address '-%[.'t %e'", A re Tits"', k1li <br />f v <br />,' I <br />Date of Inspection % . ��_ nspector <br />MONITORING ALTERNATIVE #5 <br />V1 Annual precision test on-tank(s) and piping. <br />V`"" Daily inventory reconciliation with submission of quarterly statement regarding <br />compliance with allowable variation. <br />Pipeline leak detectors on pressurized piping. <br />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 />Precision test(s) must be performed by. <br />and results submitted to <br />this office within 30 days of the test. <br />f2 Pipeline leak detectors must be installed on pressurized piping by <br />L3 Daily inventory reconciliation must be started immediately, with records maintained <br />at the facility for review. <br />4. Document daily check of suction piping function starting immediately. <br />% Submit quarterly statement to this office that allowable variation on inventory <br />reconciliation has not been exceeded or a list of dates and variations that <br />exceeded allowable.* The first statement is due by /4f- <br />(511),�" � co 11) Dispenser meter(s) must -be calibrated by Ir with`Py 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 />