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®OARD OF TRUSTEES <br />SAN JOAQUIN LOCAL HEALTH DISTRICT <br />SERVING <br />James Culbertson, Pres. <br />City of Lodi <br />Patricia E. Vannuccl, Secy.San <br />1601 East Hazelton Avenue, P. O. BOX 2009 <br />Joaquin County <br />Anthonette Van Spronsen <br />City of Escalon <br />Earl Pimentel <br />Stockton, California 95201 <br />City of Manteca <br />Fern Bugbee <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 x/32 <br />Address SS" li?/����G'd'1'��� <br />Date of Inspection � ?, Inspector Ve <br />.S • <br />MONITORING ALTERNATIVE ;15_ <br />a Annual precision test on tank(s) and piping. <br />—/,-,Daily inventory reconciliation with submission of quarterly statement regarding <br />compliance with allowable variation. <br />V 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 Vit! and results submitted to <br />this office within 30 days of the test. <br />?. Pipeline leak detectors must be installed on pressurized piping by <br />1.�. 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 />C, Submit quarterly statement to this office that allowable variation on inventory <br />reconciliation has not been exceeded or a list of dates 9d vA riations that <br />exceeded allowable.* The first statement is due by y <br />6) Dispenser meter(s) must be calibrated by�,?q%yG 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. <br />* If allowable daily inventory variation is exceeded, refer to Section 2644(f) for <br />required actions. <br />3-86 <br />