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COMPLIANCE INFO 2006 - 2010
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231332
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COMPLIANCE INFO 2006 - 2010
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Entry Properties
Last modified
6/12/2019 4:07:20 PM
Creation date
12/5/2018 9:18:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2006 - 2010
RECORD_ID
PR0231332
PE
2361
FACILITY_ID
FA0003961
FACILITY_NAME
LODI MUNI SERVICE CENTER
STREET_NUMBER
1331
Direction
S
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03104050
CURRENT_STATUS
01
SITE_LOCATION
1331 S HAM LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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OCT-27-2008 18:222 CIT'( OF LODI 209 333 6710 P.08 <br /> UNDERGROUND STORAGE TANK41YSTEM <br /> DESIGNATED UST OPERATOR MONTHLY INSPECTION REPORT <br /> Facility Name: City of Lodi Inspection Date: May 23, 2008 <br /> Facility Address_ 1331 S. Ham Lane City: Lodi <br /> Name of Designated UST Operator Conducting Inspection: Dennis Callahan <br /> International Code Council Certification No.: 1004653-UC Expiration Date: 12/20/2008 <br /> Signature: phone: (209)333-68M ext 2690 <br /> NIA a Nota "ble <br /> Item MONITORING PANEL./ALARM HISTORY Yes Na I N/A <br /> I. Is the monitoring system pwered on and in r mode? 0 El Ll <br /> 2. Is the monitoring System not currently showina any leak alarms? <br /> 3, is the Alarm History Report/log for the previous month available,and has it been reviewed by the <br /> Designated UST O oft (Attorh a copy of the al4rm hist r�Eport/12g to this inspecoon arm. <br /> 4. Has each alarm for the evious month been responded to appropriatel <br /> UST SYSTEM 1NSPECfION <br /> 5. Are tank-top containment sumps free of water,debris,and hazardous substance? Note.if the amwer co Curr a was "Yes,"skip <br /> to item 6 sonips e-here an alarm has occurred in the post tnoirth meat k raspiuv d rf'a qualified smti7ce techtncian hos not responded to. and <br /> proper!o addre£w+d the curse o Nie alarm-Duct eat4uionWr&rVwg aMqnao sem"should be atmchid to flus <br /> Yes No Yes No ` <br /> Sump Location: S/W Fuel Island SIMM Location: ME Fuel Island <br /> Sump Location:N/W Fuel Island Sump Location: SIE Shop <br /> 6. Ares ill buckets containment structures) free of water,debris,and hazardous substance? <br /> Yes No N/A Yes No N/A <br /> Tank I ID- 10,000 Unleaded Tank 4 ID-Waste Oil TT H <br /> Tank 2 ID- 2,000 Unleaded Tank 5 ID- <br /> Tank 3 ID- 5,000 Diesel Tank 6 ID- <br /> 7. Are under-di eraser containment areas free of water,debris,2nd hazardous substance? <br /> Yes I No N/A Yes No N/ <br /> is nser-- A <br /> DI/2 Multi- uct Dis =— <br /> Dispenser— D" ser— <br /> El U <br /> Dispenser- Dis user- <br /> Dispenser- Dispenser- <br /> 8. E1 U <br /> Leak detection is r located within under sercontainment <br /> Yes No N/A Yes No N/A <br /> Dispenser— 1/2 Mutti-product I Dispenser- <br /> Di ansae— D ser" <br /> Dispenser— El EJ I U I Dispenser— <br /> El I EJ <br /> Dis ser— Di sm— <br /> PAPERWORK INSPECTIONDate Done <br /> 9. Monitoring S tem Certification was coin Ieted within the post 12 months? 9/272007 <br /> 10. Line Leak Detectors were tested/ceri.ified within the 12 months? 9/2712007 <br /> 11. Spill bucket containment structure testing coin leted within the past 12 months? 9272007 <br /> 12. Line tightness testing completed within the Muird time frame? 2/13/2007 <br /> 13. Second containment tests completed within the r uired time frame? 10/52407. iexj <br /> 14_ Enhanced Leak Detection completed ted within titer m <br /> required time frae? l t g o SS- <br /> I S_ Other reg wired testing/maintenance was completed within required time frame? ist tealmaintenance items below <br /> Describe Test/Maintenance: Drop Tube lr1 Test-ev 3 10/312005 <br /> Describe Test/Maintenance:Static Tor ue dtrioo Test-eve 3 s 10/312005 <br /> Ye . <br /> FACILITYEMI•LDYE,> .-.....,_:,. <br /> E TRAINING s No N/A <br /> 16. Have all facilityemployees received the uired on-the-' b trainin within the eat`? <br /> 17. Have all facility employees hired within the past 30 days received the required on-tlto-ob trsinin 3 <br /> Note: Explain any"No"answers in the"Comments"section on the following page. Those issues require corrective action from <br /> the UST owner/operator. <br /> UN-M7-1/2 www.unidocLorg 4!26/05 <br />
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