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BOARD OF TRUSTEES SAM JUAUUIIV LUUAL i i t=AL 1 11 UIJ I Illy I <br /> James Culbertson, Pres. City of Lodi <br /> Patricia E. Vannuccl, Secy. East Hazelton Avenue, P. O. Box San Joaquin County <br /> Anthonett9 Van Spronsen City of Escaion <br /> Earl Pimentel Stockton, California 95201 City of Manteca <br /> Fern Bupbee 209/466-6781 City Stockton <br /> Daniel L. Flores Clty 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 ���(rir�l - <br /> Address !�,�' l i��it��rL ;` '�7nr1� '�� I _ - <br /> k' Ins Inspector <br /> Date of Inspection �! f <br /> MONITORING ALTERNATIVE #5 <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 /> 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 37 /j 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 /> 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 /> 5. 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 /> Dispenser meter(s) must be calibrated by with`copy of <br /> V 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 />- i <br /> * If allowable daily inventory variation is exceeded, refer to Section 2644(f) for <br /> required actions. <br /> 3=86- . UGT 1 <br />