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BOARD OF TRUSTEES SA*,JOAOUIN LOCAL HEALTH DISTI.03T 'Surma <br />Jam's Cult»rtaon, Pro*. GgOlLodi <br />Anihwnalls Van Spronaan Patricia vannuccl, sac'y. 1601 East Hazelton Avenue, P. O. Box 2009 San Joaquin County <br />AnitllCity <br />olEacalon <br />FernPlmanlal Stockton, California 95201 Cay al Eso <br />FaBupbaa Cny Manteca <br />Daniel L. Fiorea 209/488 781 Clt0tyofOf Ripon <br />John 0. Mast. M.D. City of Tracy <br />William J. Wade Joel Khanna. M.O., M.P.H., District Health Dilloar San <br />Mary Anna Low am Joaquinuin county <br />tiara Joaquin county <br />Facility Name 4eky mtc_ <br />Address 71tS(r, <br />Date of Inspection %� ( Inspector 5 <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 />1% 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 />Precision test(s) must be performed by g 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 />Document daily check of suction piping function starting immediate. <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 />V Dispenser meter(s) must be calibrated by 3 `(qks- 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 />