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COMPLIANCE INFO_2009-2014
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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
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EHD - Public
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SWRCB, January 2002 <br />6. PIPING SUMP TESTING <br />Page of <br />Test Method Developed By: ❑ Sump Manufacturer ❑ Industry Standard X Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: El Pressure LJ Vacuum X Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: Caldwell Level Change Indicator Equipment Resolution: .002 <br />Sump # 1 Sump # Sump # Sump # <br />Sump Diameter: <br />42" <br />Sump Depth: <br />46" <br />Sump Material: <br />Fiberglass <br />Height from Tank Top to Top of <br />Highest Piping Penetration: <br />Product 16" <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />2199 <br />Condition of sump prior to testing: <br />Dry <br />Portion of Sump Tested' <br />Water Line 23" <br />Does turbine shut down when <br />sump sensor detects liquid (both <br />product and water),? <br />Yes ❑ No X NA <br />Turbine shutdown response time <br />N/A <br />Is system programmed for fail-safe <br />shutdown?" <br />Yes ❑ No X NA <br />Was fail-safe verified to be <br />operational?* <br />Yes No X NA <br />Wait time between applying water <br />and starting test: <br />5 Minutes <br />Test Start Time: <br />11:30 <br />Initial Reading (RI): <br />.001 <br />Test End Time: <br />12:00 <br />Final Reading (RF): <br />.001 <br />Test Duration: <br />30 Minutes <br />Change in Reading (RF -RI): <br />0 <br />Pass/Fail Threshold or Criteria: <br />.005/30 Minutes <br />Test Result: <br />X Pass 13 Fait <br />Pass D Fail Pass Fail <br />Pass Fail <br />Was sensor removed for testing? <br />X Yes ❑ No [INA <br />Yes ❑ No ❑ NA Yes ❑ No ❑ NA <br />Yes ❑ No ❑ NA <br />Was sensor properly replaced andTx <br />verified functional after testin ? <br />Yes ❑ No ❑ NA <br />Yes ❑ No ❑ NA Yes ❑ No ❑ NA <br />Yes ❑ No ❑ NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />System is Suction Supply and Gravity Return for Emergency Generator. <br />' If the entire depth of the sump is not tested, specify how much was tested. If the answer to ay of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG -160) <br />
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