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&0AA0 Of TRUSTEES <br />Jaw-** CulOMaon. Pres. <br />Pa E. vannuccl. Secy. <br />Anilhooello Kan Spronsan <br />EaA rimentel <br />Fern su <br />Daniel L. Flores <br />John O. Most. M.O. <br />William J. Wade <br />Mary Anna Low <br />Facility Name <br />Address <br />S A MM61 IN LOCAL HEALTH DISTWS <br />aEnvfNo <br />City of Lodi <br />1601 East Hazelton Avenue. P. 0. Box 2oog <br />San Joaquin county <br />Stockton. Callfomla 95201'Cityof <br />Escaion <br />' city of Manteca <br />209/46"781 <br />city of Ripon <br />City of Stockton <br />Joal Khanna. M.O.. M.P.H.. District Health OfficerCity <br />of Tracy <br />San Joaquin County <br />San Joaquin County <br />Date of Inspection a Inspector <br />MONITORING ALTERNATIVE 1'S ���n� 4� t�a� 1/5 6 � <br />'WAnnual precision test on tank(s) and piping. <br />ily-inventory reconciliation with submission of quarterly statement 'regarding <br />compliance with allowable variation. <br />Pipeline leak detectors on pressurized piping. <br />IL'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: filonitoring alternative requires that the following CIRCLED items <br />be completed by the specified dates. <br />Precision test(s) must be performed by �f`# 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 I <br />3� Daily inventory reconciliation must be started immediately, with records maintained <br />7 at the facility for review. <br />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 variations that <br />exceeded allowable." The first statement is due by <br />6, Dispenser meter(s) must be calibrated by with copy 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 I <br />