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COMPLIANCE INFO_1986-2006
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231331
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COMPLIANCE INFO_1986-2006
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Last modified
6/20/2023 9:32:19 AM
Creation date
6/3/2020 9:43:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1986-2006
RECORD_ID
PR0231331
PE
2351
FACILITY_ID
FA0000513
FACILITY_NAME
LODI MEMORIAL HOSPITAL
STREET_NUMBER
975
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03107039
CURRENT_STATUS
01
SITE_LOCATION
975 S FAIRMONT AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231331_975 S FAIRMONT_1986-2006.tif
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EHD - Public
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Apr 20 04 00: 44a L Facilities Management (2# 339-7672 p. 8 <br /> ' <br /> � . <br /> D. R«sultsmy <br /> ,plete the following checklist: <br /> U N�*__J_Were all sensors.visually iri-qpected,f4actionally tested,anti confirmed operational? <br /> Yes tj Ro. Were all sensors installed at lowest point ut'secondary containment and positioned so that other equipment will <br /> nne intcrfcrc with their proper operation? <br /> es 0 It' alarms are relayed to a renAote moniloring station, is all communications equipment (e.g. modein) <br /> Q No* For pressuxizcd piping systems,docs the turbine automatically shut down if die piping secondary contairmuricni <br /> O—N—IA: monitoring systern detects a leak, fails to operate, or is electrically disconnected? If yes-which semsors initiate <br /> positive shut-down? (Check all that apply) CJ Sump/Trcnch Sensors; Ll Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/discovincution? 0 Yes: 0 No. <br /> 0 No' J.'or tank systems that utilize die monitoring system as the primary wa overfill warning device (ix, no <br /> MCC Ical overfill pireveotion valve is installed), is the overfill waniing alarm visible and audible at dic <br /> fill Eoint(s)and operating properly? If so,at what pcicclit of tank capacity does the alarm trigger? <br /> �o Was any monitoring equipment replaced? If yes,identify specific sensors,probes.or otber equipment reptleed <br /> 0 Yes* III replaofd <br /> and list the manufacturer name and model for all replacemcnt parts in Section E,below. <br /> .0 Ves, Was li vid found inside any secondary containment systems designed Ds dry systems? (Check all that qpply� <br /> U Product; 0 Water, If yes,describe causc5 in Section F,below. <br /> _)�Cs 01 No a Wa3 mon'toring systern set-up reviewed to ensure propcirsettingsT Attach set up reports,if applic3ble <br /> Q No* is all monitoring equipment operational por manufacturer's specifications? <br /> Yes <br /> L Q No* <br /> In Section E below,describe how and when these dcficicncic3 were or will be corrvoted. <br /> � <br /> E. Comments: <br /> � <br /> _ <br /> � <br /> --- <br /> � <br /> , <br /> v3ge2«u3 mm� <br /> . . <br /> 4n nj JC114 <br />
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