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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231036
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COMPLIANCE INFO_2019
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Last modified
7/27/2020 3:45:34 PM
Creation date
7/27/2020 2:49:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0231036
PE
2361
FACILITY_ID
FA0003761
FACILITY_NAME
ST JOSEPHS HOSPITAL
STREET_NUMBER
1800
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
12718044
CURRENT_STATUS
01
SITE_LOCATION
1800 N CALIFORNIA ST
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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All "t <br /> 01717i`n C UST SYSTEM RETROFIT OR REPAIR <br /> (Submit minimum of 3 sets of plans & applications as originals will be retained by EHD ) <br /> 1 . Site map enclosed? YES [ I NON <br /> 2 . Submit copies of ICC Service Technician and/or Installer's certificate and all manufacturer training certificates for each <br /> person installing or testing any component that is repaired or replaced . Ensure a copy of the "Site Health and Safety <br /> Plan" is available on the jobsite as required by Title 8 . <br /> 3 . Detailed description of work to be completed . List components to be repaired or replaced and attach a diagram drawn <br /> to scale showing location of repairs and/or replacements . If repairing a component, describe how this will be done. ( If <br /> adding piping , UDC' s , or other UST equipment, or performing tank top upgrade , use the UST Installation Application <br /> pages 4-8 as necessary for a timely plan review) : <br /> Remove existing Diesel 3 gallon overspill container. Install new 5-gallon overspill container <br /> including drop tube , fill adapter, and cap. <br /> 4 . List of equipment to be used (Attach manufacturer's specification sheets showing third -party approval ): <br /> 1 ) OPW 1 C -2100C - DEVR - 5 Gallon overspill container <br /> 1 ) OPW 71 S041 OC Drop Tube <br /> 1 ) OPW 61SALP- 1020EVR Fill Adapter <br /> 1 ) OPW 634TT-7085EVR Fill Cap <br /> 1 ) OPW FSA400S Face Seal Adapter <br /> 1 ) OPW JSK44CB Jack Screw <br /> j <br /> j <br /> 3 <br /> I <br />
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