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_. .. . _ _. ._..-.. . _. _. ._ . . .. .- •c.Vrnu <br /> Mae Cul0�rl ion, Pre�. <br /> frI <br /> ty of <br /> vfh ft V.nnuccl,Spro sec Y. 1601 Et .lazelton Avenue, P. O. Box 2009 San Joaqulin county <br /> NAt,nNl� Vin Spron�m y <br /> +1 Pirnonlel Stockton, Callfotnla 95201CItyo E*"Ion <br /> rn aupbM C41y Manteca <br /> +Nai L. Flores / 209/466.6781 City of Ripon <br /> city of Stockton <br /> _�N{ <br /> hn D. Most, M.D. !!! City of Tracy <br /> 1114M J. Wade / Jopi Khanna, M.D., M.P.N., District Health 011lcm Sen Joaquin Count <br /> rryAnn• lw ee j oy <br /> Sen Joaquin County <br /> Facility Name tL /ivC:�C ,=—:--- '/ / r� ii✓e-- 60w1Pi¢NI <br /> Address /✓I fl <br /> Date of Inspection /y F6 Inspector <br /> MONITORING ALTERNATIVE 15 <br /> Annual precision test on tank(s) and piping. <br /> _Daily inventory reconciliation with submission of quarterly statement regarding <br /> compliance with allowable variation. <br /> I <br /> Pipeline leak detectors on pressurized piping. <br /> Daily operational check of suction piping function. <br /> Zalibrated meters for inputs and withdrawals: <br /> Weights and Measures sticker <br /> Certification by qualified repairnwn <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 7d—JFCand 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 /> V Document daily check of suction piping function starting immediately. <br /> 6DSubmit quarterly statement to this office that allowable variation on inventory <br /> reconciliation has not been exceeded or a list of dates andvariatio s that <br /> exceeded allowable. * The first statement is due by Z _ <br /> / — <br /> V Dispenser meter(s) must be calibrated by Z — Q — �� with copy of <br /> certification or Weights and Measures sticker number submitted to this office. <br /> If Che 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 /> I , <br />