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BOARD OF TRUSTEES SAN OAQUIN LOCAL HEALTH DISTRICT SERVING <br /> James Culbertson, Pres. City of Lodi <br /> Anthonette Ven Spronsen <br /> Patricia Vennuccl, sec y. 1601 East Hazelton Avenue' P. O. Box 2009 San Joaquin County <br /> ttCity of Escalon <br /> Earl Pimento[ Stockton, California 95201 <br /> Fern Bupbea city of Manteca <br /> Daniel L. Flores 209/466-6781 City of Ripon <br /> City of Stockton <br /> John Mast, M.D. City of Tracy <br /> William <br /> J. Wade Jogl Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Mary Anna Love San Joaquin County <br /> Facility Name Eler s7 6AMAllG <br /> Address /y <br /> Date of Inspection 121 -17 Inspector <br /> MONITORING ALTERNATIVE 115 <br /> Pnnual precision test on tank(s) and piping. <br /> aily 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 /> �' Calibrated meters for inputs and withdrawals: <br /> Weights and Measures sticker <br /> Certification by qualified repairman <br /> )ImplImplementation of this monitoring alternative requires that the following CIRCLED items <br /> ementation <br /> completed by the specified dates. p <br /> 1 . Precision test(s) must be performed by —G D 8 and results submitt d t a <br /> this office within 30 days of the test. o /� <br /> 2. Pipeline leak detectors must be installed on pressurized piping by <br /> ) Daily inventory reconciliation must be started ilrrnediately, 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 variations that <br /> exceeded allowable.* The first statement is due by 3 d — <br /> Dispenser meter s) must be calibrated by �7 with copy of <br /> certification or Weights and Measures sticker number 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 />