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VING <br /> -BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT City SERf Lodi <br /> ING <br /> James Culbertson, Pros. San Joaquin county <br /> Patricia E. Vannuccl, Sec'y. 1601 East Hazelton Avenue, P. O. Box 2009 City of Escalon <br /> Anthonette Van spronsen City of Manteca <br /> Earl Pimento] Stockton, California 95201 City of Ripon <br /> Fern Bupbee 209/466-6781 City of Stockton <br /> Daniel L. Flores City of Tracy <br /> John D. Mast, M.D. San Joaquin County <br /> William J. Wade Jopl Khanna, M.D., M.P.H., District Health Olf Icer SanJoaquin County <br /> Mary Anna Love <br /> Facility Name rd(lCTD.f/ �7TirF'l <br /> Address $IXu-2p �/W&0 A(, 7Z4i/ <br /> /1 <br /> Date of Inspection fp (V 4 Inspector –Ai �lkFrI &I <br /> MONITORING ALTERNATIVE #5 <br /> _j,1Annual precision test on tank(s) and piping. <br /> /Daily inventory reconciliation with submission of quarterly statement regarding <br /> compliance with allowable variation. <br /> _ Pipeline leak detectors on pressurized piping. <br /> I/ Daily operational check of suction piping function. <br /> (i Calibrated meters for inputs and withdrawals: <br /> Weights and Measures sticker <br /> _Certification by qualified repairman <br /> Implementation of this monitoring alternative requires that the following CIRCLED items <br /> be completed by the specified dates. <br /> Precision test(s) must be performed by �—and results submitted to <br /> this office within 30 days of the test. <br /> 2. Pipeline leak detectors must be installed on pressurized piping by <br /> Daily, inventory reconciliation must be started immediately, with records maintained <br /> at the facility for review. <br /> � 4Document daily check of suction piping function starting immediately. <br /> '✓ Submit quarterly statement to this office that allowable variation on inventory <br /> reconciliation has not been exceeded or a list of dates and yariations that <br /> exceeded allowable.* The first statement is due by �j/�rr., <br /> 6. Dispenser meter(s) must be calibrated by 71, �$/, 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 <br />