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COMPLIANCE INFO_2007-2008
EnvironmentalHealth
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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
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231331_975 S FAIRMONT_2007-2008.tif
Tags
EHD - Public
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t <br /> SAN 76 <br /> JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street,Stockton,California 95202-3029 <br /> TO h ne:(209)468-3420 Fax. (209)468-3433 Web:www.sigov.org�ehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Te h <br /> Facility name: Designated Operator: Inspection Date: <br /> VMA� T�RAI\NO\ 1646c�� <br /> Facility address: CA UST# 7 <br /> 7 <br /> Fa ity Contact: Title: Ph <br /> Piping system: Overfill prevention: <br /> El Pressurized Vcnrtinn El Gravity I)44echanical El Audible/visual <br /> Inspection ty Violations: <br /> "online *monitoring Certification 11 Installation [I OMI-RDetect Other: 0 M2-RPrev 0 M-3 Both <br /> # Code Section VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R. <br /> V=Violation;RV=REREat Violation V <br /> I HSC 25284 Permit too2erate <br /> 2 CCR 2637 Secondn containment test performed <br /> , <br /> 3 CCR 2711 (b)& c) Current Unified Proram Consolidated Forms on file with EHD Facility and tanrm) <br /> 4 s HSC 25292.2 Certification of financial responsibility and CFO letter <br /> 5 CCR 2632(b) Monitoring Program(Monitoring&Response Plan)is current and approved by the local agenc <br /> 6 CCR 2712(i) Monitoring 2Ian is onsite. <br /> 7 CCR 2712(b) Maintenance&monitoring records (m'L- <br /> 8 CCR 2643(d) Daily monitoring of suction piping(pre-Janna!j, 1, 1984) <br /> 9 1 HSC 25292.1 UST system isoperated to revent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitorina system is 2resent (MI) <br /> I I CCR 2630(d) UST system monitoring equi2ment is 2ro2erly located to detect a leak (MI) <br /> 12 HSC 25291 (b) UST s stern monitoring equipment isoperational (M2) <br /> 13 CCR 2636(f)(1) Continuous monitoring system for under roL is 2resent (MI) <br /> 14 CCR 2631 a) Primary containment is 2roduct tight <br /> 15 HSC 25291 (a)(2) SecondM containment for UST is tight <br /> 16 CCR 2636(c)(1) All releases in secondary pi2inflow to a collection sump <br /> 17 HSC 25291 (f) Line leak detectors are installed (MI) <br /> 18 CCR 2635(bI)_ Spill container (M2) <br /> 19 CCR 2635(b)(2) Overfill prevention system (M2) <br /> 20 CCR 2636(a) Conventional suction pi2inshall have continuous monitorin &2'containment <br /> 21 HSC 25291 (e) Water in 2'containment analyzed&properly disposed of <br /> 22 CCR 2650 Recording/re portinof unauthorized releases <br /> 23o CCR 2715 - Designated 02erator:(a)Staternen?V—m UST owner; (c-e)MonthIq*sj5ection;(f)Em to ee trainingt�_ <br /> 24 CCR 2638(a) Annual monitoring certification <br /> 25 CCR 2638 1a) Annual line leak detector test (MI) <br /> 26 HSC 25284.2 Annual spill containment testing <br /> 27 1 CCR 2636(t(4) Annual line tightness test (M1) <br /> 28 CCR 2661 (0 Repair for tank/pi2inhas had tightness test (M2) <br /> 29 CCR 2643(e) Biennial tightness test of gravity piping(pre-January 1, 1984� <br /> 30 CCR 2643(d) Triennial line test for conventional suction Ri2ina( re-Janus a 1, 1984) <br /> 31 HSC 25292.5 Double wall sXstern located within 1000'of Eublic well-ELD <br /> 32 CCR 2661 Permit to repair UST system <br /> 33 1 HSC 25286(a) Permit to alter monitoring system <br /> 34 HSC 25298(b) Permit to tem2orarily close UST system <br /> 35 HSC 25298(c) Permit to close UST system <br /> 36 HSC 25299(a)(9) Disabling leak detection devices <br /> 37 HSC 25298(a) Illegal abandonment of UST system <br /> 38 Other: <br /> EHD INSPECTOR�s PHONE: e <br /> UIC <br /> Septic system: <br /> - <br /> Serves_>20 people/day <br /> RECEI BY: TITLE: -Receives other than sanitary waste <br /> Other disposal methods: <br /> Dry wells/French Drains <br /> EHD 23-02-002 REV 05/07 <br />
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