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BOARD OF TRUSTEES <br />SA' 'OAQUIN LOCAL HEALTH DIST" 'T <br />SERVING <br />James Culbertson, Pres. <br />N <br />City of Lodi <br />Patricia E. Vannuccl, Secy. <br />1601 East Hazelton Avenue, P. O. Box 2009 <br />San Joaquin County <br />Anthonette Van Spronsen <br />Clty of Escalon <br />Earl Pimentel <br />Stockton, California 95201 <br />City of Manteca <br />Fam Bupbes <br />209/466-6781 <br />City of Ripon <br />Daniel L. Flores <br />City of Stockton <br />John D. Mast, M.D. <br />City of Tracy <br />William J. Wade <br />Jogl Khanna, M.D., M.P.H., District Health Officer <br />San Joaquin County <br />Mary Anna Love <br />San Joaquin County <br />Facility Name <br />J��> E G/�`% C4eVe_01--' <br />Address� 4 <br />2/ �, <br />O <br />Date of Inspection 1-2-2-47 Inspector <br />MONIT RING ALTERNATIVE f5 <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 />\///Pi eline leak detectors on pressurized piping. <br />Daily operational check of suction piping function. <br />_V—Calibrated meters for inputs and withdrawals: <br />Zweights 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 �j -Z - 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 "'-274 7 <br />3. Daily inventory reconciliation must be started immediately, with records maintained <br />at the facility for review. <br />4. Document daily check of suction piping function starting immediately. <br />50. 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 />6. Dispenser meter(s) must be calibrated by — - Z— with copy <br />D 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 />