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itof Es <br /> Patrlcla,E. Vannuccl, Secy. 1F =ast Hazelton Avenue, P. 0. BOX 20C C <br /> an, y umn <br /> Anth,5nette Van Spionsen City L4 <br /> calon <br /> Earl Plmentel Stockton, Callfornia 95201 city of Manteca - <br /> Fern Bupbee 209/466-6781 City of.Rlpon <br /> Daniel L. Flores City of Stockton-- <br /> John D. Mast, M.D. City of Tracy <br /> William J. Wade Jopl Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Mary Anna Love San Joaquin County <br /> Facility Name / - <br /> Address <br /> Date of Inspection Inspector <br /> MONITORING ALTERNATIVE 05 <br /> �nnual precision test on 'tank(s) and piping. <br /> _Daily -inventory reconciliation with submission of quarterly statement 'regarding <br /> compliance with allowable variation. <br /> ipeline leak detectors on .pressurized piping. <br /> Daily operational check of suction piping function. <br /> Y <br /> calibrated meters for inputs and withdrawals:- <br /> 1 <br /> Weights and Measures sticker l <br /> = - ertification 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 nd results submitted to <br /> this office within 30 days of the test. <br /> 2. Pipeline leak detectors must be installed on pressurized piping by 9-�- <br /> 3. Daily inventory reconciliation must be started immediately, with records maintained I <br /> at the facility for review. ' <br /> 4. 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 and variations that <br /> exceeded allowable.* The first statement is due by <br /> �)Dispenser meters) must be calibrated by _ /- ��o 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. j <br /> * If allowable daily inventory variation is exceeded, refer to Section 2644(f) for <br /> required actions. <br /> 3-86- . UGT 1 <br />