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COMPLIANCE INFO_2009-2014
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2300 - Underground Storage Tank Program
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PR0231331
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COMPLIANCE INFO_2009-2014
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Last modified
1/4/2021 1:20:05 PM
Creation date
6/3/2020 9:44:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2014
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_2009-2014.tif
Tags
EHD - Public
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SWRCB, January 2002 <br />4. TANK ANNULAR TESTING <br />Page of <br />Test Method Developed By: <br />X Tank Manufacturer ❑ Industry Standard ❑ Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: <br />❑ Pressure X Vacuum <br />❑ Other (Spec) <br />❑ Hydrostatic <br />Test Equipment Used: Gast Vacuum Pump/Vacuum Gauge in Hg. <br />Tank # 1 Tank # <br />Is Tank Exempt From Testing?' Yes x No Yes No <br />Equipment Resolution: -1/2" x 30" Hg. <br />Tank # Tank # <br />❑ Yes ❑ No ❑ Yes ❑ No <br />Tank Capacity: <br />5K <br />Tank Material: <br />Jacketed DW Steel <br />Tank Manufacturer: <br />Trusco <br />Product Stored: <br />Fuel Oil <br />Wait time between applying <br />vacuum and starting test: <br />10 Minutes <br />Test Start Time: <br />11:20 <br />Initial Reading (RI): <br />-7 Hg. <br />Test End Time: <br />12:20 <br />Final Reading (RF): <br />-7 Hg. <br />Test Duration: <br />1 Hour <br />Change in Reading (RF -RI): <br />0 Hg. <br />Pass/Fail Threshold or Criteria: <br />No Loss in Hg. <br />Test Result: <br />X Pass 0 Fail Pass <br />Pass ❑ rPass ❑ Fail <br />Was sensor removed for testing? <br />X Yes ❑ No ❑ NA Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />X Yes [INo ❑ NA Yes [INo 11NA <br />LlYes [INo 101NA ❑ Yes ❑ No ❑ NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />' Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary <br />containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment <br />testing. {California Code of Regulations, Title 23, Section 2637(a)(6)) <br />
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