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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
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EHD - Public
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CGDry Creek R d <br /> Iota Sacramento,CA 95838 <br /> E"_Cv. MTEC, 288-2657 <br /> Test Certification <br /> Post Installation Enhanced Leak Detection (ELD)mg.& ' <br /> L .lite, 1117',_`"l <br /> r+h. l I' <br /> Lodi Memorial Hospital Test Date: February 10, 2009 <br /> 975 S Fairmont Avenue CGRS Techs: Nicolas Poynter <br /> Lodi, CA 95240 <br /> This document certifies that the UST systems listed below at the above referenced location have <br /> been tested and passed the iota® VaporTite V005 tightness test. CGRS further certifies that the <br /> iota®VaporTite V005 meets the post installation testing requirements for post installation testing <br /> for newly installed underground storage tank systems as per the California Health and Safety <br /> Code, Chapter 6.7, section 25290.10)(1). <br /> Post Installation ELD Test Results <br /> Diesel Primary Containment System_ PASS <br /> IOTA Tech Signature: 2/9/2009 <br /> icol soynt r Tank Tester# 04-1686 Date <br /> Reviewed by: C 2/9/2009 <br /> Chris Mur y- C perations na Date <br />
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