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.s` ip 0 �• <br />Aiw–jewiie-Van aprons" <br />eari t!i <br />f 9u9bee <br />O W t., FIoree <br />John 0. Meet. M.O. <br />William J. W"O <br />my Anna Love <br />Facility Name <br />jP 6 Lodi <br />1601st H*telt A ue, P. A. Box J County <br />Ilf it t city of � <br />Stockton. City of Memo" <br />209/48"781 City Of 8t c on <br />of <br />Joel Khmrw4 M.O., M.P.N.. DistrictHealth Otllcar ban JoaQuM CounCityty <br />ty <br />San Joaquin county <br />L✓ <br />Date of Inspection Inspector <br />NITORING ALTERNATIVE /5 <br />tL/Ann precision test on tank(s) and piping. <br />Gaily inventory reconciliation with submission of quarterly statement regarding <br />compliance with allowable variation. <br />detectors.PiDe"ne leak on pressurized piping. <br />�. operational piping <br />I/Calibrate <br />• meters for♦ •withdrawals: <br />Weights and Measures sticker <br />rtification by qualified repairman <br />Implementation of this monitoring alternative requires that the following CIRCLED items <br />completed by the specified dates. <br />1. Precision test(s) must be performed by , />®J?rand 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 />03 -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 variatio s hat <br />exceeded allowable.* The first statement is due by - / L, <br />6. Dispenser meter(s) must be calibrated by —/j' r 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 Ili:l 1 <br />