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COMPLIANCE INFO_2009-2014
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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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 Page of <br />7. UNDER -DISPENSER CONTAINMENT (UDC) TESTING <br />Test Method Developed By: <br />❑ UDC Manufacturer <br />❑ Industry Standard <br />Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: <br />❑ Pressure <br />❑ Vacuum <br />Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: <br />Equipment Resolution: <br />UDC # <br />UDC # UDC # <br />UDC # <br />UDC Manufacturer: <br />UDC Material: <br />UDC Depth: <br />Height from UDC Bottom to Top <br />of Highest Piping Penetration: <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: <br />Condition of UDC prior to <br />testing: <br />Portion of UDC Tested <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />roduct and water)9 <br />Turbine shutdown response time <br />Is system programmed for fail- <br />safe shutdown? <br />Was fail-safe verified to be <br />operational?* <br />Wait time between applying <br />water and starting test <br />Test Start Time: <br />Initial Reading (RI): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF -RI): <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />Pass' L] Fail : <br />Pass ❑ Fail '' Pass <br />❑ Fail Pass 0 Fail <br />Was sensor removed for testing? <br />Yes ❑ No ❑ NA <br />Yes ❑ No ❑ NA Yes ❑ No <br />❑ NA Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />Yes ❑ No ❑ NA <br />Yes ❑ No ❑ NA Yes ❑ No <br />❑ NA Yes ❑ No ❑ NA <br />verified functional after testin ? <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />No UDC's. <br />1 If the entire depth of the UDC is not tested, specify how much was tested. If the answer to aM of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LGA 60) <br />
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