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JAIV J*UUIN LU%A^L hItAL I " UW I hIL,46 <br /> Jamas Culb«1,on, Prrr�. tE11VIN4 <br /> Peldcia E. vannuccl, soc'y. <br /> Anihonatta van awoneon 1601 East Hazelton Avenue, P. O. Box 2008 San jot Citquiy or lollCounty <br /> For" awp0aa P ob"1 Stockton, CalllofTtls 65201- C1ty of Eacalon <br /> « City ofMantaca <br /> Oanlel L. Flora 2M/46"781 City of Ripon <br /> John 0. Meat, M.O. City of Stockton <br /> William J. Wada Joel Khanna, M.O., M.P•H., 01etAci Health Of1kw City of Tracy <br /> Mary Anna Low SanJ04qulnCounty <br /> San Joaquin county <br /> Facility Name — f <br /> rn a <br /> Address 1 alb �t <br /> Date of Inspection 1 `— o"D $ (p Inspector <br /> MONITORING ALTERNATIVE 15 <br /> Annual precision test on tank(s) and piping. <br /> ✓Oai)y•inventory reconciliation with submission. of quarterly statement 'regarding <br /> compliance with allowable variation. <br /> /Pipeline leak detectors on pressurized piping. <br /> V Dally operational check of suction piping function. <br /> V/ 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 /> Precision test(s) must beerformed b — �' <br /> P Y 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 /> 0 <br /> Daily inventory reconciliation must be started imnediately, 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 nd variati s that <br /> exceeded allowable. * The first statement is due by _ (��5= <br /> Dispenser meter(s) roust be calibrated by with co of <br /> certification or Weights and Measures ztickeer submitted to this offvice. <br /> I ( Lhe above compliance dates cannot be met, contact this office prior to the specified <br /> da Le. <br /> If allowable daily inventory variation is exceeded, refer to Section 2644( f) for <br /> required actions . <br /> 3-86 UGT I <br />