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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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iota CG °� ` <br /> 5aaamalro.CA 95636 <br /> 600.28&2657 <br /> Final ELD Test Project Worksheet <br /> Final Test Date: 2/10/2009 IOTA Technicians: Nicolas Poynter <br /> Site Information Installation Contractor Information <br /> Facility: Lodi Memorial Hospital Customer Name: Western Pump Inc. <br /> Address: 975 S Fairmont Avenue Address: 3235 F Street <br /> City,State,zip: Lodi,CA 95240 City,State,zip: San Diego,CA 92102 <br /> County: San Joaquin Contact: Dejan Ristic <br /> CUPA Contact: Foley,Kasey I Hwan,Donna❑ Telephone/Email 619-SM2193hkianrewastempump.eom <br /> CUPA Phone: 209 468-3451 KFoley@sjcehd.com/ 209 468.3420 <br /> TANKS <br /> Tank No. caeacity Product Type Manufacturer Brine Test Result <br /> Tank 1 20,000 Diesel DW Fiberglass Containment Solution Y PASS <br /> COMPONENTS IN CONTAINMENT <br /> Tank Top Sums Diameter Depth Volume Description Test Result <br /> St 48 52 407 fill sump PASS <br /> S2 48 52 407 15 PASS <br /> S3 48 52 407 remote fill sump PASS <br /> Junction Boxes with Tank connection Description Test Result <br /> S Tank Probe and Turbine J-Box open during test PASS <br /> S Tank Probe and Turbine J-Box open during test PASS <br /> Transition Sump Length Width Depth Volume Description Test Resuh <br /> TSI 48 30 36 224 Western Fiberglass PASS <br /> TS2 48 30 36 224 Western Fiberglass PASS <br /> PIPING <br /> Product Piping Manufacturer Tvoe Size Length Test Result <br /> product supply NUPI DW 1-112" 12' PASS <br /> product return NUPI DW 2" 12' PASS <br /> remote fill NUPI DW 3" 85' PASS <br /> Vent Plipma Manufacturer Tvoe size Length Test Resuh <br /> Diesel NUPI DW - T. 95' PASS <br /> Leak Logs 1 Repair <br /> Sup vseded on 2112109:Changes have been made to the tank top sumps dlamter from 44"to 4a",and changes have been made to the vent piping diameter"2 to 3"both wale typos.The trans sdom sumps were Improperly listed as Bravo. <br /> 2/8 9 <br /> T4 200 4 .. _. <br /> Reviewed By v Data 10 A Teeh Signature CA Lianw No. Date <br />
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