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BOARD OF TRUSTEEa <br />Jame CulbeC1600. Pfae. <br />Palricla E. Vannuccl. SaCy <br />AnthOn*ll• Van Sp(Onaan <br />Ean Pimenta' <br />FNn SUP" <br />Danlel L. Florae <br />John D. Mut. M.D. <br />William J. Wed* <br />Mary Anne low <br />Facility Name <br />Address <br />SAN JOAC IN LOCAL HEALTH DISTRICT <br />1601 East Hazelton Avenue, P. O. Box 2009 <br />Stockton, Callfornla 95201" <br />209/46"781 <br />JoQI Khanna. M.D.. M.P.H.. District Health O"Ic*r <br />us Ky CL/AN- <br />—V—t,3 L_ <br />Z � � 3 <br />Date of Inspection 1"2 8b Inspector <br />MONITORING ALTERNATIVE OS <br />Annual precision test on tank(s) and piping. <br />I <br />SERVING <br />City of Lodi <br />San Joaquin County <br />City of Escalon <br />C11y of Manteca <br />City of Ripon <br />City of Stockton <br />City of Tracy <br />San Joaquin County <br />San Joaquin County <br />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 />Calibrated meters for inputs and withdrawals: <br />We hts and Measures ertification 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 be performed by 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 />8 Document daily check of suction piping function starting immediately. <br />S. Submit quarterly statement to this office that allowable variation on inventory <br />reconciliation has not been exceeded or a list of dates and variati ns that <br />exceeded allowable.* The first statement is due by <br />6 Dispenser meter(s) must be calibrated by / 3 c)-- 8 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 />