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BOARD OF TRUSTEES <br /> SAN41AQUEN LOCAL HEALTH DISTRi SERVINQ <br /> James Culbertson, Pres. <br /> Patricia E. Vannuccl, Secy. City of Loth <br /> Anthonette Van Spronsen 1641 East Hazelton Avenue, P. ©. Box 2009 San Joaquin County <br /> Earl Pimentel Stockton, California 95201 City of Eacalon <br /> Fern Bugbea City of Manteca <br /> Daniel L. Flores 209/466781 City of Ripon <br /> John D. Mast, M.D. City of Stockton <br /> City of Tracy <br /> San Joaquin County <br /> William J. Wade Jogi Khanna, M.D., M.P.H., District Health officer <br /> Mary Anna Love sf � <br /> San Joaquin County <br /> Facility Name iv LJU,4 h i,rii+, L <br /> Address <br /> Date of Inspection 7 Inspector/ <br /> MONITORING ALTERNATIVE #5 <br /> 1 Annual precision test on tank(s) and piping. <br /> t/ <br /> t" Daily inventory reconciliation with submission of quarterly statement 'regarding <br /> compliance with allowable variation, <br /> Pipeline leak detectors on pressurized piping. <br /> 1/(Daily operational check of suction piping function. <br /> /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 /> 1 Precision test(s) must be performed by -3---k— 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 /> 5. Submit quarterly statement to this office that allowable variation on inventory <br /> reconciliation has not been exceeded or a list of dates and vari i ns that <br /> exceeded allowable. * The first statement is due by " ` <br /> Dispenser meter(s) must be calibrated by 2_0 with <br /> certification or Weights and Measures sticker nu ber~ submitted to this offPce� f <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 />