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jOAAO Of TAUSTEES SAN JOA IN LOCAL HEALTH DISTRICT <br /> James;.ulb•rt•on, Pr••. tE11VIN0 <br /> ►atrtcta E. vannuccl, S•c'y. City of Lodi <br /> Anthonatte Van SMon••n 1601 East Hazelton Avenue, P. 0. 80K 2009 San Jo1YOf Coulon <br /> EaA /lm.nai Stockton, California 95201 citrorEaufon <br /> City of Many <br /> Fwnauoboo 209146"781 City of Alcon <br /> O enlef L. Floras City of Stockton <br /> John 0. Mast, M.O. City of Tracy <br /> William J. Wada Joel Khanna. M.O., M.P.H., District health Officer San Joaquin County <br /> Mary Anna Low -Cy ee/ San Joaquin County <br /> Facility Name _ Jh�G� wAy <br /> Address Li ) (gyp, 2-P <br /> Date of Inspection IL Inspector /„.l P <br /> MONITORING ALTERNATIVE 15 <br /> t/ Annual precision test on tank(s) and piping. <br /> Daily -inventory reconciliation with submission of quarterly statement regarding <br /> compliance with allowable variation. <br /> r Pipeline leak detectors on pressurized piping. <br /> V Daily operational check of suction piping function. <br /> Calibrated meters for inputs and withdrawals: <br /> Heights and Measures sticker <br /> V Certification by qualified repairman <br /> Implementation of this. monitoring alternative requires that the following CIRCLED items <br /> r <br /> completed by the specified dates. <br /> 1 . Precision test(s) must be performed by L 3 7—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 /> / 4'{/� 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 <br /> Dispenser meter(s ) must be calibrated by _ 1--?dr (� with copy of <br /> certification or Weights and Measures sticker number submitted to this office. <br /> If Che 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 l <br />