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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> James Culbertson, Pres. City of Lodi <br /> Patricia E. Vannuccl, Secy. 1601 East Hazelton Avenue, P. O. Box 2009 san Joaquin county <br /> Anthonetts Van Spronsen City of Eacalon <br /> Earl Plmentel Stockton, California 95201 City of Manteca <br /> Fern Bupbee 209/466-6761 City Ripon <br /> Daniel L. Flores Citof Stt ockton <br /> John D. Mast, M.D. - City of Tracy <br /> William J. Wade Jopi Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Mary Anna Love San Joaquin County <br /> Facility Name �AiToA1 �r f ✓S�(I¢r� <br /> Address /5i�,? IV,6-747 <br /> Date of Inspection (o�tS'/fr6 Inspector AWA lY��J�i W <br /> MONITORING ALTERNATIVE ;#5 <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 /> 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 /> l Precision test(s) must be performed by R 1riT r,__and results submitted to <br /> this office within 30 days of the test. <br /> At,11 - T�FITpHs <br /> l} Pipeline leak detectors must be installed on pressurized piping by g ;g <br /> Daily inventory reconciliation must be started immediately, with records maintained <br /> vv 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 4014 K& <br /> V q Dispenser meter(s) must be calibrated by '�rj, k6 with copy of <br /> �- certification or Weights and Measures sticker nu bar 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 />