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BOARD OF TRUSTEES <br />James Culbertson, Pres. <br />Patricia E. Vannucpl, Sec'y <br />Anthonette Van Spronsen <br />Earl Pimento[ <br />Fern Bugbee <br />Daniel L. Flores <br />John D. Mast, M.D. <br />William J. Wade <br />Mary Anna Love <br />SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br />City of Lodi <br />1601 East Hazelton Avenue, P. O. Box 2009 San Joaquin CountyCity of Escalon <br />Stockton, California 95201 City of Manteca <br />209/466-6781 City of y ofity t Ripon <br />Stockton <br />City of Tracy <br />Jogl Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br />San Joaquin County <br />Facility Name <br />,� '✓ �r� r <br />Address 1 �� � � •� �{� `r„�-�`�'�: _.r <br />T <br />r <br />Date of Inspection(;+;,/ Inspector <br />MONITORING ALTERNATIVE #5 <br />5 - <br />(_,%=Annual precision test on tank(s) and piping. <br />L, -"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 and results submitted to <br />this office within 30 days of the test. yy <br />Pipeline leak detectors must be installed on pressurized piping byl,".1 Afxe' /rr <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 <br />QDispenser 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 <br />