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COMPLIANCE INFO_2006-2012
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2300 - Underground Storage Tank Program
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PR0231614
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COMPLIANCE INFO_2006-2012
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Last modified
5/19/2021 1:21:17 PM
Creation date
6/3/2020 9:50:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2006-2012
RECORD_ID
PR0231614
PE
2361
FACILITY_ID
FA0000086
FACILITY_NAME
San Joaquin General Hospital
STREET_NUMBER
500
Direction
W
STREET_NAME
HOSPITAL
STREET_TYPE
Rd
City
French Camp
Zip
95231
CURRENT_STATUS
01
SITE_LOCATION
500 W Hospital Rd
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231614_500 W HOSPITAL_2006-2012.tif
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EHD - Public
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" 0 0 Page � of <br /> SWRCB,January 2002 <br /> 8. FILL RISER CONTAINMENT SUMP TESTING <br /> Facili is Not Equipped With Fill Riser Containment Sums ❑ <br /> Fill Riser Containment Sumps are Present,but were Not Tested 11❑Indus Standard professional Engineer <br /> Test Method Developed By: ❑Sutnp Manufacturer tT5' 1( <br /> U Other(Sped) `Vj hydrostatic <br /> Test Method Used: <br /> Ll Pressure ❑Vacuum jj�c---- <br /> ❑Other(Specify) <br /> t. Equipment Resolution: ,o a — 7w <br /> Test Equipment Used: C-4 hell C Fill Sum # <br /> Fill Sum # _ Fill Sum # ill Sum # <br /> Z' <br /> Sum Diameter: j 7- <br /> Su o Depth: ' <br /> Height from an Top to Top of <br /> Hi hest Pi iniz Penetration: <br /> Height from Tank Top to Lowest , <br /> Electrical Penetration: <br /> Condition of sump prior to <br /> testin : t <br /> Portion of Sum Tested W u fY v' `/L" <br /> Sump Material: ' ``§ <br /> Wait time between a lying <br /> pressure/vacuu water d lD r-7rte s <br /> startin test: ` <br /> Test Start Time: nig <br /> Initial Reading(Kr): & <br /> Test End Time: <br /> Final Readin (RF): <br /> Test Duration: <br /> Chan a in Readin (RF-Ri): N 0 <br /> Pass/Fail Threshold or Criteria: -00. r <br /> ❑ P ss ❑ ail ❑ Pass ❑Feil ❑ Pass ❑Fail <br /> Test Result: Pass ❑Fail <br /> ❑ es ❑Nio Yes ❑No, ❑Yes ❑No <br /> is there a sensor in the sump? Yes ❑No I <br /> NA <br /> Does the sensor alarm when <br /> es ❑No ❑NA ❑Y ❑No ❑ A ❑l�'es ❑No ❑Nil ❑Yes ❑No <br /> either product or water is Y ❑ <br /> detected? <br /> Was sensor removed for testing? ❑Yes o ❑NA ❑ es ❑No ❑N Yes ❑No DNA", <br /> Yt ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and ❑Yes ❑No A Yes ❑No ❑NA Yes ❑No ❑NA ` ❑Yes ❑No ❑NA <br /> verified functional after testin ? <br /> Comments—(include information on repairs made prior to testin , and recommended follow-u or ailed tests) <br />
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