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BOARD OF TRUSTEES <br />James Culbertson, Pres. <br />Patricia E. Vannucci, Secy. <br />Anthonette Van Spronsen <br />Earl Pimentel <br />Fern Bugbee <br />Daniel L. Flores <br />John D. Mast, M.D. <br />William J. Wade <br />Mary Anna Love <br />Facility Name <br />SAOMQUIN LOCAL HEALTH DIS <br />1601 East Hazelton Avenue, P. O. Box 2009 <br />Stockton, California 95201 <br />209/466-6781 <br />Jogl Khanna, M.D., M.P.H., District Health Officer <br />f4A -T ;117,6 S, <br />Address 1G>> 0 <br />Date of Inspection`, Inspector <br />MONITORING ALTERNATIVE_ #5 <br />SERVING <br />City of Lodi <br />San Joaquin County <br />City of Escalon <br />City of Manteca <br />City of Ripon <br />City of Stockton <br />City of Tracy <br />San Joaquin County <br />San Joaquin County <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 />j/' pipeline leak detectors on pressurized piping. <br />Daily operational check of suction piping function. <br />V` Calibrated meters for inputs and withdrawals: <br />tl 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 />Precision test(s) must be performed by and results submitted to <br />this office within 30 days of the test. <br />l.�" Pipeline leak detectors must be installed on pressurized piping by /� %6(�_• <br />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 _2�4� OtZ f <br />Dispenser meter(s) must -be calibrated by c64 /k4 with copy of <br />certification or W€"ghts and Measures sticker nu er 96b fitted to this office. <br />If the above complianc( 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 />