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BOARD OF TAUSTE ry iEltYttta <br /> James Culbertson Pres. - G!y of L1 <br /> Patricia E. vannuccl. Seer. y 601 �1Wt Ha�ize�ton Avenue, P. O. Box 2009 Sen Joaquin�i1r <br /> Anlhonatt•van Spronsan Cllr of Escalon ;�r <br /> cit of Marftrca <br /> Earl ltilm.ntel Stodctoa.California 85 City of!Ripon <br /> Fern auot»e 209/4664781 <br /> Oanlel L. Flores City of Stockton <br /> Sohn 17. Most. M-0- City W Tracy <br /> William J.Wade Jool Khanna. M.o.. HLP.H.. District Health Officer San Joaquin County <br /> :Awry Anna Low San Joaquin County <br /> Faci l i ty Name <br /> Address _ -71Z✓ I,2O � 5-773-19- <br /> Date of Inspection —� Inspector AJ/f <br /> MONITORija ALTERNATIVE 35 <br /> Annual precision test on tank(s) and piping. <br /> _LL"D'aily -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 /> y Calibrated meters for inputs and withdrawals: <br /> Weights and Measures sticker <br /> P Certification by qualified repairman <br /> Implementation of this:monitoring alternative requires that the following CIRCLED items <br /> be completed by the specified dates. <br /> 0 Precision test(s) tttust 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 ressurized piping by <br /> 03- Daily inventory reconciliation must be starte immediately, with records maintained <br /> at the facility for review. <br /> 46v� <br /> Document daily check of suction piping functi n 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 variatio that <br /> exceeded allowable.* The first statement is due by 3 - /� <br /> CJ6 Dispenser meter(s) must be calibrated by — 2,? 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 />