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COMPLIANCE INFO_2007-2008
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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PR0231331
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COMPLIANCE INFO_2007-2008
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Last modified
6/20/2023 10:36:46 AM
Creation date
6/3/2020 9:43:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2007-2008
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
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231331_975 S FAIRMONT_2007-2008.tif
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EHD - Public
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ONE COMPANY. ONE WORLD. ONE SOURCE' <br />6 5a i EVR <br />o c)0 <br />a� yet <br />(500 sense any) <br />RT - Raintilht <br />00 - No Containment <br />FilllVapor Port Replacement I <br />Riser Spacing Gauge Port Manhole <br />Bolt Down Model Number <br />Configurations Retrofit <br />00 - Single Port Location Cover Size* <br />SitEVR • HOPE Beflmvs, Thread-OnManhole <br />P71P42G <br />(A a Y Configurations) 00 . No gauge Port 30" (Configurations) <br />Composite Base, BahDava <br />A 0° RP* - (No Ring / <br />40 . Port at 12 O'Clock36.36" Retrof4 O fry <br />561EVR - HDPE gainers. Tlvead-On <br />case kers Base, Bct•Down <br />(Dead Canaj Skirt) <br />RP - POMECO <br />16 . 16" Centers 43 • Pon at 3 O'Cbck 37.37" <br />39.39" Retrofit Only <br />411• HOPE Beim, slpona <br />RC - CNI <br />24.24" Centers 46. Port at 6 O'Clock 42 - 42" <br />composNe g <br />oo <br />RF - Fibedite <br />(42" Minimum Cover) <br />49 - Pon at 9 O'Clock 48 - 46• <br />P511-sceK <br />RT . Phil- <br />E oo Fibedite <br />® ® 4M • Pon in Center ° 42 is standard <br />Roto -Lod Model Number <br />521EVR • HDPE Bellows, Thread -On <br />Composite Base, Rola-Lack <br />571EVR HDPE BeMvn, Ttaead-Wr <br />"RP cover orders must <br />G oo be accompanied by an <br />up-to-date POMECO <br />® e <br />River Spacing as b�a <br />• <br />Cast Iron Base. Rob -lock <br />( 4r m geld survey form <br />e3� <br />- 421. HOPE Bellows. sopor <br />overtinim <br />Cow4- <br />Replacement Tim Sucket <br />co n ile Bess with <br />with Plug -1r & 14" Rims <br />,,--- 0.e —.. <br />Roto -lock Fastmms <br />L <br />_ Pod Location r <br />Esampie •j ---or <br />P511C•PEVR13.14 <br />(Offset Single <br />7- <br />wl C.I. Base, Plug, for W& 14" Risers <br />A21-GKIT <br />521Mut0•Pod Complete Gasket Klt <br />P511•GKn <br />Too <br />Dimensions <br />Optional Roto -Lock <br />D.D. I.D. Thicknss <br />Fastener System <br />Note. 43 or 49 <br />lee an � an in. an <br />style Gauge Pon <br />The POMECOIOPW Roto -Lock <br />must be used if <br />30" 76 26%' 66 3G 0.952 <br />system enables a secure <br />a be �d FIs <br />37" 94 34x" 8a 318 0.952 <br />raintight connection without the <br />L shoe <br />4T 107 M. 101 112" 1.27 <br />need to locate threaded bolt <br />461 122 4411" 113 1R" 1.21 <br />holes on the mounting ring. <br />EVR Multi -Ports <br />Custom Multi -Port Manholes <br />Thread -On Spill Containers are available DPW will retrolit existing sites, or substitute ; <br />the special options below Upon request See ' <br />in Composite or Cast Iron Bases with either mullilvd field survey form at www.opw-fe.com <br />5, 7.5 or 15 gallon buckets. (1) Drain Valve In the Interactive Section Online Folders <br />Spit Bucket & (1) Plug Spill Bucket standard Special Options <br />on Dual Ports. Drain Valve Spill Bucket <br />Available upon request - Contact DPW <br />standard on Single Port. <br />Customer Service at: 1-800.422-2525 <br />Optional ilephicanitimt Parts <br />Part # Description I <br />601111034M Offset V Riser C threaded, 2"08aet it <br />68114618 12"tol13". IRserSpacer <br />66114024 20" to 26- mm spam, <br />HIS144M 4" NPT Nipple, 4" Length _ 6511-111318 x, _ <br />H12806M 4" NPT Nipple, 5" Lergttr Rlva sir <br />VPN4X7 4" NPT Nipple, ?"Length -- <br />j VPN4X9 4" NPT Nipple, r Lenge <br />N15271M 4" NPT Nipple, 8"Length <br />H18268M 4" NPT Nippfe, l0" lermgtim <br />TC•400 4"Torque Cap fore"Nipples <br />6521•XAR38" aa <br />3rRobUAAdapkr"bmEt9anBotDown <br />8421-XAR39 3, Roto -lock Adaptor toOM4 from Boo <br />651t•xmci 4r Rorotock Adapiertoconvedfrom cot Daum <br />): 6521•XAR48 48"Rotot9ckAdaptorto anted from Bok Down OKsolAdsplor Tomoa Cap rhapple <br />0 Copyright 2006, 0Fw Fueffq Components <br />ONE WORLD. ONE SOURCE. - <br />RT vs 1 <br />Sp111 Container <br />Spill Container <br />Cover Style** <br />Capacity*** <br />RT - Raintilht <br />00 - No Containment <br />SC - Sealable Cover <br />05.5 -Galton <br />H13931M <br />07.7.5 -Gallon <br />P710.370 <br />15.154albn <br />P71P42G <br />— 5 -Gallon bucket <br />RT - Raindght <br />is standard <br /># Of Ports <br />With <br />Containment <br />0 <br />1 <br />2 <br />3 <br />4 <br />Powder <br />Coated <br />Covers <br />R-(1)Red <br />(1)Orange <br />W - (1) White <br />(1) Orange <br />6-(1)Blue <br />(1) Orange <br />Y-(1)Yellow <br />NOTE: Leave <br />blank for grey <br />Omer coat <br />only. <br />Part # <br />Deacdp0on <br />IDK-2100-EVR <br />WWII Series Drab Valve <br />C05110M <br />Gasket, SPIN Bucket It Mounting Ring <br />P511SC-RING <br />Mounting Ring for SC Com <br />H13931M <br />Replacement Seal "C Cover <br />P710.370 <br />34".37" Mardmole Gasket <br />P71P42G <br />4r Markets Gasket <br />ALL P110.480 <br />48" Manhole Gasket <br />PROT04.00K <br />(1)Roto-Lock <br />P40-ROTOLID <br />Replacement 40 S1yb Gauge Pat Roto•Lcck LM <br />P-400 <br />Replacement Gasket for 40 Style Gauge Pat <br />P511 -8K <br />SSI Cover Bell & Gasket R(4 each) for complete cover <br />P -30L <br />Replacement 30 Style Bolt Gam Gauge Pat Ltd <br />P511-sceK <br />$09 Bucket SC Ring 10 (4) Bogs Mashers, Gaskets <br />P511BLOEIBOLT $ft Bucket RT Ring Kit (4) Bolts,Washers, & Gaskets <br />and <br />Nar <br />Manhole Cover <br />Current Replacement Parts <br />For New 500 Series EVR Multi -Pods 6511/6521, 65611571 made <br />post 1112003 <br />part # DwAptkn <br />P711-EVROV Re�acement'Gallon Bucket, vol Drain Valve <br />P711E•EVRDV Replacement . nBucket, omp 3", <br />wf Drain Valve <br />P711-EVRPL Replacement 54aflon Bucket wlPbg ( M) <br />P711E.EVRPL <br />Replacement 7.5 GMbn Bucket Comp Base, Wiping <br />P761-EVRDV <br />Replacement S•Gaflon Bucket, C.I. Base wNrak Vahre <br />P761-EVRPL <br />Replacement S -Gabon Bucket, C.I. <br />P7610E.EVRDV <br />Replacement 7.5 Gallon Bucket Cl Base, WiDrak Valve <br />P7610E-EVRPL <br />Replacement 7.5 Gallon Bucket, Cl, V0 Plug <br />PStt-1'EVRDV Replacement 15 Gaton Bucket, Comp Base, W Drain whe <br />H15197M Replawnent Seat for Now Rain TW Cover <br />Note: Naw P711 & P761 EVR buckets cone onty work with New "EVR" <br />MuM-Port covers. (made post it=) <br />See page 148 for replacement rings and covers put numbers <br />Pad # <br />Description <br />P311SUCKET <br />311 Replacement Basket'Gallon <br />311 P311 -G14 <br />Bucket Top Flange Gasket r <br />' Notched Gasket Set <br />Parts P311DRKIT <br />311Drain KR (fomatti Ms) <br />P900T <br />311 Replaourami Boot <br />411 P210BUCKET <br />411 Replacement Bucket 5Gallon <br />Parts 1P•2105 <br />Hand Pump KK tor411tP2105 <br />Pill-Wil. <br />Replacement CowRT) <br />P111•WTLS <br />TL <br />Replacement Beer ffor RT Cover <br />P511YBUCKET <br />ReplacemetWaste 09an" <br />P511-DEVROUCKET <br />Replacement "alien Socket v4th Drain valve <br />P511•PEVRBUCKET <br />Replacement 5 -Gallon Bucket with Plug <br />P511C•DEVRBUCKET <br />Repiacement'Galbn Bucket <br />With C.I. Bess and Draln Vale <br />PS11C.PEVRBUCKET <br />'PLacement'Gallon Bucket <br />51U <br />With C.L Bass and Mug <br />521 11511•DEVRB•14 <br />Replacement'. Gallon Bucket <br />Pads <br />with Oram Valve 12" & 14" Risers <br />P511-PEVR6-14 <br />Replacement Tim Sucket <br />with Plug -1r & 14" Rims <br />PSi1C.DEVR8•14 <br />Replacement &Gallon Bucket <br />Wi C.I. Base, Drain Valve for tr& 14" Risers <br />P511C•PEVR13.14 <br />ReplacerrundSGaBon Bucket <br />wl C.I. Base, Plug, for W& 14" Risers <br />A21-GKIT <br />521Mut0•Pod Complete Gasket Klt <br />P511•GKn <br />511 Muftl*od Complete Gasket KK <br />DPW Envkonmmtal Systems <br />I <br />
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