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ucy a Lodi <br />San Joquln county <br />rwlaw <br />. E. v.ma, s,oY. 1t30 ut Hazelton Avenw, P.O. Box 2000 qty of Eao•lon <br />AwMuwtt• Van nprvnean <br />am PkmagN Stockton, Caillolnla 05201 city of Memo" <br />Fe m 11109bee 209/466-0781` ity at R1pon <br />Dental t. Flor•• <br />City of atoekton <br />John 0. Mut, M.O. City of Tray <br />William J. Wed• Jool Khanna, M.O., M.P.H.. District Health officer Ban Joaquin County <br />May Anne Low 1 p !1 1 n San Joaquin County <br />fac111ty Naftin I e t X 2 �/1� VIX�Xszrk�, <br />Address <br />Date of Inspection 6--,2 D - B Inspector <br />MONITORING ALTERNATIVE 15 <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 />v Oaily 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 />Precision test(s) must be performed by nd 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 innediately, with records maintained <br />at the facility for review. <br />Document daily check of suction piping function 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 variations that <br />exceeded allowable.` The first statement is due by S�Qo�e, ),2,� �(�t)aQ:�L <br />Dispenser meter(s) must be calibrated by �(j(� --�� — with copy of <br />certification or Weights and Measures sticker number ubmitted 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 />1 <br />86 11i1 1 1 <br />