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OAAD Of TAuaTtta JAN JVAk lUIN l.wn�'� '�-^•.' • """• """ """"'- <br /> Amos culpaAaon, Praa. City of County <br /> aUtcla E. vannuccl, sac'y. 1601 As Hazelton Avenue, P. 0. Box 2009 San Joaquin Coulon <br /> MAonalla Van swonaan city of Eacalon <br /> ail 101~04 Stockton,Callfofnle 95201' city of Manl.ca <br /> am auQbaa 209/466-6781 Day Ripon <br /> anlal L. Flores <br /> Citof Stockton <br /> ohn D. Mut, M.O. City of ty <br /> Illla n J .Wada�. ?d,,/ - Joel Khanna. M.O.. M.P.H.. Dlaltict Hw1U .r 011lcSan Joaquin County <br /> � !_?/� Son Joaquin County <br /> wy Anne Lo;; <br /> Facility Name -F, Li(ZNTQ V' At <br /> Address p\00 ( S 1 F�rV7 �cl� M-TC Com( <br /> Date of inspection ) — — / 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 /> ipeline leak detectors on pressurized piping. <br /> Gaily operational check of suction piping function. <br /> Calibrated meters for inputs and withdrawals: <br /> moKeghts and Measures sticker <br /> rtification by qualified repairman <br /> Implementation of this monitoring alternative requires that the following CIRCLED items <br /> be completed by the specified dates. <br /> C1 . Precision test(s) must be performed by z— — o / 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 /> 03- 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 variatio that <br /> 1 exceeded allowable.* The first statement is due by — <br /> 6. I Dispenser meter(s) must be calibrated by — —�? with copy of <br /> J 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 />