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roAwo or lnusttts SAN JC&UIN LOIGAL HEALTH DIST RICA 9E1tY1r4a <br />�...... C.,io..n.on, P,... City of Lodi <br />�ak+cta C. vennv"t, 64c'r. 1601 East Hatelton Avenue. P. O. Goic 2004 San Jo"V40 county <br /> 6Mtww.9440 Van stwoo-01 ally of Eocaton <br />;.n r4n+0ntai Stockton, California 95201Gly of mantoca <br /> a.n supbsa 209!186-6781 city of Ripon <br /> .na.i L. Flora. City of Stockton <br /> ohn o. Mad(, M.O. City of Tracy <br /> human J. Wada Joci Khanna. M.O.. 01014ct Maailh 011tc- San J"quick county <br /> ary Anna Low Son Joaquin county <br /> F a e i 1 i ty N a me . {/� I � � U I '5 i __ <br /> t - <br /> Address _oS -Too <br /> Oate of Inspection U inspector r <br /> MONITORING ALTERNATIVE !S <br /> V ORMnual precision test on tank(s) and piping. <br /> L-'--- 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 /> L-"'_-Calibrated meters for inputs and withdrawals: <br /> Weights and Measures sticker <br /> ✓ Certification by Qualified repairTmn t <br /> Implementation of this. monitoring alternative requires that the following CIRCLED items <br /> completed by the specified dates. <br /> ot�) Precision test(s) must be performed by -Y 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 . DocumcnL daily check of suction piping function starting i=wt dtiatcly. <br /> �- SUtunIL Quarterly staLcment. to this office that allowat)lc variation on inventory, <br /> recortictliaLion has not been exceeded or a list of dates nd varixtions that <br /> exceeded allowable. * The first %ULornent is due by <br /> u . J Ois[)enSer meLer( s ) musL be calibrated by i S~ with copy of <br /> _L--- <br /> certification or Weights and N,asures slicker number t+rhmittrd to <br /> this office . <br /> If Lhe above compliance dales cannot be meL . contact this office prior to thr specified <br /> If allowable dally inventory variation is exceeded. refer to Section 7644( f ) for <br />