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eoARo of TRUSTEES SA OAQUINL©CAL HEALTH DiSTROT SERVING <br /> James Culbertson, Pres. City of Lodi <br /> Patricia E. Vannuccl, Secy. 1641 East Hazelton Avenue, P. 0. Box 2009 San Joaquin County <br /> Anthonelte Van Spronsen City of Escalon <br /> Earl Plmentel Stockton, Calllornla 95201 City of Manteca <br /> Fern Bupbee 209/468-6781 City of Ripon <br /> Daniel L. Flores City of Stockton <br /> John D. Mast, M.D. City of Tracy <br /> William J. Wade Jogl Khanna, M.D., M.P.H., District Health olficer Sen Joaquin County <br /> Mary Anna Love San Joaquin County <br /> Fac il ity Name - / =- � Lh! lr,-,r, 'lr� � --�SF1� - <br /> Address aaa-Al/A, -<Tn/ Z ( 01 <br /> i <br /> Date of Inspection ��/ �t�G� - Inspector <br /> MONITORING ALTERNATIVE #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 thismonitoring alternative requires that the following CIRCLED items <br /> be completed by the specified dates. <br /> Alr'lF�— + '�19L7 S <br /> 0(l . Precision test(s) must be performed by 4,4ta�� a a Eland results submitted to <br /> this office within 30 days of the test. <br /> Pipeline leak detectors must be installed on pressurized piping by _Zo L—io <br /> `3. 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 immedi-ately. <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 /> 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 DGT 1 <br />