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ratek"E. vannuoal. t3•o'yr. pb of t.oQt <br /> t•van eprona•n 111tocktait, <br /> Hazelton Avenue, P. t;!.n J ty <br /> O. Box °a4� <br /> am <br /> City of t: <br /> tat Callfornla 1 City of EecalMGM*on <br /> f&n ®upt�l 200/46"781 city of Ripon <br /> Oant•t L. Floe• <br /> John O. Most. M.O. City M Stockton <br /> Wttttam J. Wade Jogl Khanna. M.O.. M.P.H.. Olatdot Health 010catC4ty of TraCy <br /> Mary Anna Low San Joaquin County <br /> San Joaquin county <br /> Facility Name <br /> Address 5'>—b I <br /> Date of Inspection Inspector <br /> MONITORING ALTERNATIVE /5 3J Al,ac�t � <br /> Annual precision test on tank(s) and piping. <br /> Oaily -inventory reconciliation with submission of quarterly statement regarding <br /> compliance with allowable variation. <br /> yPipeline leak detectors on pressurized piping. <br /> 1-1 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. <br /> 2 Pipeline leak detectors must be installed on pressurized piping by 1 <br /> 3 Daily inventory reconciliation must be started immediately. with records maintained <br /> at the facility for review. <br /> 44 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 vaiati <br /> exceeded allowable. * The first statement is due by ns that <br /> 7 <br /> Dispenser meter(s) must be calibrated by _ _ with co of <br /> certification or Weights and Measures sticker num 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 tJr,1 <br />