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aowno of TltusTEEs SAf f 'QUIN LOCAL HEALTH DISTr <br /> James Culbonson, Prae. tEftVING <br /> lr <br /> raicie E. Vennuccl, Secy. _ _ ~ City of Lodi <br /> AMhonelta Ven Spronaon 1601 East Hazellon Avenue, P. O. Box 2009 San Joaquin County <br /> Ead PlmanlN Stockton, Callfornla 95201- Gh'of Eecelon <br /> Fain augbas City of Manteca <br /> Denial L. Floras 209/488-8781 City of Ripon <br /> John 0. Most, M.O. City of Stockton <br /> William J. Wada Joul Khanna, M.O.. M.P.N.. District ttaelth OfflcerCity of Tracy <br /> Mary Anne low San Joaquin County <br /> Sen Joaquin County <br /> Facility Name <br /> AddressSar �4 , <br /> Date of Inspection // 6 Inspector <br /> MONITORING ALTERNATIVE #5 <br /> �1" Annual precision test on tank(s) and piping. <br /> Daily inventory reconciliation with submission of quarterly statement 'regarding <br /> compliance with allowable variation. <br /> f Pipeline leak detectors on pressurized piping. <br /> Daily operational check of suction piping function. <br /> Calibrated meters for inputs and withdrawals: <br /> L.-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 /> 1 . 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 <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 immediately. <br /> 0 Submit quarterly statement to this office that allowable variation on inventory <br /> reconciliation has not been exceeded or a list of dates and var'ations that <br /> exceeded allowable.* The first statement isdu//e�,by� ! /�'�'� <br /> (6 Dispenser meter(s) must be calibrated by 1 h b 7 with copy of <br /> certification or Weights and Measures sticker , um er submitted to this office. <br /> If the above compliance dates cannot be met , contact this office prior to the specified <br /> date. <br /> I <br /> If allowable daily inventory variation is exceeded, refer to Section 2644( f) for <br /> required actions. <br /> 3-86 UGT 1 <br />