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BOARD OF TRUSTEES 5 UAL IiL-JAL I il 1 <br /> James Culbertson, Pres. city of Lod] <br /> Patricla". Vannuccl, Secy. 16*ast Hazelton Avenue, P. O. Box 20� sanJotyo Escaloy .. <br /> Anthonette Van Spronsen City of Escaion <br /> Earl Pimentel Stockton, California 95201 Cltyof Manteca _ <br /> Fern Bullbas 209/466-6781 y of St Ripon <br /> City <br /> Daniel L. Flores onc- <br /> John D. Mast, M.D. City ooff Tracy acy <br /> William J. Wade Jopl Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Mary Anna Love C San Joaquin County <br /> Facility Name 411 6f67-'F,- Zv(" <br /> Address <br /> Date of Inspectiony { Inspector: <br /> MONITORING ALTERNATIVE 05 <br /> ".-Annual precision test on tanks) and piping. <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 /> y <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 /> (�� 1 Precision test(s) must be performed by ' �IL 6, - 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 f/1'45 <br /> � <br /> 3. Daily inventory reconciliation must be started immediately, with records maintained <br /> C� r at the facility for review. <br /> 4. Document daily check of suction piping function starting immediately. <br /> o �L j5� 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 !!' <br /> G,� Dispenser meter(s) must be calibrated by C with copy of <br /> C 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 /> 3-88 . UGT 1 <br />