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90AA0 Of TAUSTEEs SAN JOIN LOCAL HEALTH DISTRICT# tENVIN© <br /> James Cvlbonson. Pere. <br /> Patricia E <br /> ta . Yannuccl, Set"y. City or Lodi <br /> Van Sp� san 1601 Bast Hazelton Avenue, P. O. Box 2009 son Joaquin County <br /> Gty of Eacaion <br /> Earl rta►antal Stockton, California 95201' Gty of M an toca <br /> Fern aupbar <br /> Daniel L. Flores 209/485-6781 City of Rtpon <br /> City of Stockton <br /> John D. Most. M.D. City of Tfacy <br /> William J. Wade Jolpi Khanna. M.D.. M.P.H.. District Health 0111cw San Joaquin County <br /> Mary Anna low San Joaquin County <br /> Facility Name E C l) 1 Q 0 04-1 <br /> Address `6 `2- 0 <br /> Date of Inspection Inspector <br /> inspector <br /> MONITORING ALTERNATIVE 15 <br /> _1V/Annual precision test on tank(s) and piping. <br /> Daily -inventory reconciliation with submission of quarterly statement 'regarding <br /> compliance with allowable variation. <br /> /Daily <br /> Pipeline leak detectors on pressurized piping. <br /> operational check of suction piping function. <br /> 7Calibrated meters for inputs and withdrawals: <br /> _J_/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) ;rust be performed by � and results submitted to <br /> this office within 34 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 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 0� l _P <br /> (b. 1 Dispenser meters) must be cal ibra ted try s / _70__F6 with copy of <br /> certification or Weights and Measures sticker number submitted to this office. i <br /> If the above compliance dates cannot be met . contact this office prior to the specified <br /> date. I <br /> If allowable daily inventory variation is exceeded. refer to Section 2644( f) for <br /> required actions . <br /> 3-86 UGT 1 <br /> i <br />