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.- _. JNfV JV'- JUIfV L.t,Jld�t. f1tAl I M UW 1 fill,l <br /> 6 CVIOwlson, Praa. SERVING <br /> ds E. vannuccl, Soc'y. Gty of Lodl <br /> K*11*van SWonsan 1601 East Hatellon Avenue, P. 0. Box 2009 San Joaquin county <br /> M~144 Stockton, Callfornla 95201' Glyof Eacafon <br /> 'aupb« City of Manteca <br /> N L. Floras 209/186.6781 City of Ripon <br /> 0. Mut, M.O. <br /> City of Stockton <br /> of Tracy <br /> un J. Wada Joel Khanna, MA. M.P.N., District Health OUlcw City <br /> County <br /> r Anna low 1 San Joaquin County <br /> Facility Name <br /> Address <br /> Date of Inspection 1 `- al- AGO Inspector 012, rP',� 1 C �rt ­0 <br /> MONITORING ALTERNATIVE 15 <br /> _-L,/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 /> eights and Measures sticker <br /> Certification by qualified repairman <br /> Implementation of this:atonitoring alternative requires that the following CIRCLED items <br /> be completed by the specified dates. <br /> Precision tests) — results submitted to <br /> this office within 30 days e£ L. <br /> 2. Pipeline leak detectors must be installed on pressurized piping by <br /> 0 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 /> 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 —_q_— s L2 <br /> 6. Dispenser meter(s ) must be calibrated by _ with copy of <br /> certification or Weights and Measures sticker number suhmitted 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 I <br />