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4A IN t: -HEALTH I T <br />SERVING <br />Cu t"On. <br />City of Lodi <br />t% y , ; ++ • (Jg' s/� w x <br />.1 `i azalton' 1 ue, P. 0. An t®Vat <br />San Joaquin County <br />City of Escalon <br />$f Ott, C41tf W <br />City of Manteca <br />Bug1tM ;, 208/466.876! <br />City of Ripon <br />W L► .. <br />City of Stockton <br />John 0. uK M.D. <br />City of Tracy <br />Joel Khanna, M.O., M.P.H., 01strlct Health Officer <br />Sart Joaquin County <br />San Joaquin County <br />Facility Name <br />Address u�1; <br />Date of Inspection ! Inspector <br />MONITORING ALTERNATIVE #5 <br />VeTOAnnual precision test on tank(s) and piping. <br />-""Daily inventory reconciliation with submission of quarterly statement <br />regarding <br />_V <br />compliance with allowable variation. <br />512 0 <br />e Pipeline leak detectors on pressurized piping. OK-- <br />Daily operational check of suction piping function. <br />i./Calibrated meters for inputs and withdrawals: <br />eights and Measures sticker L rE. <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 I I( LVI 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 />Document daily check of suction piping function starting immediately. <br />Submit quarterly statement to this office that allowable variation on inventory <br />reconciliation has not been exceeded or a list of dates an va iations that <br />exceeded allowable.* The first statement is due by <br />6. Dispenser meter(s) must be calibrated by 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 UGT 1 <br />