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BOARD OF TRUSTEES SANOAQUIN LOCAL HEALTH DISTRf SERVING <br /> James Culbertson, Pres. City of LodI <br /> Patrick E. Vannuccl, Secy. 1601 East Hazelton Avenue, P. O. Box 2009 San Joaquin county <br /> Anthonetle Van Spronsen City of Escalon <br /> Earl Plmentel Stockton, California 95201 city of Manteca <br /> Fern Bugles 209/488-6781 City of Ripon <br /> Daniel L. Flores _ City of Stockton <br /> John D. Most, M.D. City of Tracy <br /> William J. Wade Jogl Khanna, M.D.. M.P.H., District Health Officer San Joaquin County <br /> Mary Anna Love ,v San Joaquin County <br /> Facility Name ` b/S C O . <br /> Address ! 3�A /�• i�/e� SIKoJ <br /> Date of Inspection Inspector ,ZC/ <br /> MONITORING ALTERNATIVE #5 1 -.3,P00 <br /> __Li Annual precision test on tank(s)�and <br /> `piping. <br /> Daily inventory reconciliation with submission of quarterly statement regarding <br /> compliance with allowable variation. <br /> Q4 Pipeline leak detectors on pressurized piping. <br /> V 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 /> 0 Precision test(s) must be performed by // /b 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 /> 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 date and variations that <br /> exceeded allowable. * The first statement is due by � /� Y <br /> 66 Dispenser meter(s ) must be calibrated by /{ 11 ' with copy of <br /> certification or Weights and Measures sticker k2 r submitted to this office. <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 1 <br />