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BOARD OF TRUSTEES <br />James Culbertson, Pres. <br />Patricia E. Vannuccl, Secy. <br />Anthonette Van Spronsen <br />Earl Pimentel <br />Fern Bu®bee <br />Daniel L. Flores <br />John D. Mast, M.D. <br />William J. Wade <br />Mary Anna Love <br />Facility Name <br />Address <br />•S • <br />i9w NOW <br />1601 r • Box 2009 <br />Stockton, Gallf@Mla 95201 <br />209/466-6781 <br />Jo®i Khanna, M.O.. M.P.H., District Health Officer <br />J <br />Date of Inspection f Inspector <br />MONITORING ALTERNATIVE ifs <br />f - l00o) /-?)000 /-lg000 <br />V Annual precision test on tank(s) and piping. <br />SERVING <br />City of Lodi <br />San Joaquin County <br />City of Escalon <br />City of Manteca <br />City of Ripon <br />City of -Stockton <br />City of Tracy <br />San Joaquin County <br />San Joaquin County <br />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 />L/�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 />lr Precision test(s) must be performed by } lS " and results submitted to <br />this office within 30 days of the test. <br />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 />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 varia ions that <br />exceeded allowable.* The first statement is due by <br />Dispenser meter(s) must be calibrated by —F 7 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 1 <br />