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$&mo Culbemson, Pre*. <br />City of Lodi <br />Oatrtde E. Vannuccl, s.c'y. <br />1601 Eeaf Nuelton Avenue P. O. Box 2009 <br />s•n Jwqule County <br />knlhonette Van Spronsen <br />' <br />Gly of Eacaion <br />Ead PlrRarHei <br />Stockton, California 95201' <br />Cit ofManteea <br />cern suQt»• <br />209/468-6781 <br />City of Ripon <br />)anlel L. Flores <br />City of Stockton <br />john D. Mut, M.O. <br />City of Tracy <br />Vllliam J. Wade <br />Jopi Khanna, M.D., M.P.H., District Health Officer <br />Sen Joaquin County <br />Aary Anna Low <br />San Joaquin County <br />Facility Name [flame <br />5e——3fA/in ri_Ilan1'141 <br />Address -2,:� <br />S - ,E4, L � <br />Date of Inspection <br />—( 14 -_$ Inspector <br />MONITORING ALTERNATIVE 05 <br />✓Annual precision test on tank(s) and piping. <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 />Heights and Measures sticker <br />Certification by qualified repairman <br />Implementation of this:monitoring alternative requires that the following CIRCLED items <br />completed by the specified dates. <br />Precision test(s) must be performed by L LT -] 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 <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 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 1 <br />