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COMPLIANCE INFO_2009-2014
EnvironmentalHealth
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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 Page of <br />9. SPILL/OVERFILL CONTAINMENT BOXES <br />Facility is Not Equipped With Spill/Overfill Containment Boxes ❑ <br />Spill/Overfill Containment Boxes are Present, but were Not Tested X <br />(See Comments!) <br />Test Method Developed By: <br />❑ Spill Bucket Manufacturer <br />❑ Other (Spec) <br />❑ Industry Standard ❑ Professional Engineer <br />Test Method Used: <br />❑ Pressure <br />❑ Other (Spec) <br />❑ Vacuum ❑ Hydrostatic <br />Test Equipment Used: <br />Equipment Resolution: <br />Spill Box # Spill Box # Spill Box # Spill Box # <br />Bucket Diameter: <br />Bucket Depth: <br />Wait time between applying <br />pressure/vacuum/water and <br />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 <br />Criteria: <br />Test Result: <br />❑ Pass ❑Fail ❑ Pass <br />DA' ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br />_Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />Spill/Overfill Boxes Tested annually with Monitoring System Certification. <br />
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