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COMPLIANCE INFO_2021
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2300 - Underground Storage Tank Program
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PR0231002
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COMPLIANCE INFO_2021
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Last modified
3/10/2021 8:59:18 AM
Creation date
1/27/2021 2:11:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231002
PE
2361
FACILITY_ID
FA0002864
FACILITY_NAME
DAMERON HOSPITAL
STREET_NUMBER
525
Direction
W
STREET_NAME
ACACIA
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13715304
CURRENT_STATUS
01
SITE_LOCATION
525 W ACACIA ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> 9. UST SYSTEM INSPECTION <br /> List below and in Section 3 all containment sumps that have had a release detection alarm <br /> since the previews Designated UST Operator Inspection Report and have not been responded <br /> to by a qualified service technician. Containment sumps listed below require a visual <br /> inspection for damage, water, debris, hazardous substance, and proper sensor location. <br /> Is the containment sump free of damage, water, debris, and hazardous substances? <br /> Containment Sump ID Yes No Containment Sump ID Yes No <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> Are all sensors in visually inspected containment sumps located to detect a release at ❑ ❑ <br /> the earliest opportunity? <br /> Is the spill containment free of damage, water, debris, and hazardous substances? Is the fill pipe <br /> free of obstructions? Is fill cap securely on the fill pipe? <br /> Spill Containment ID Yes No Spill Containment ID Yes No <br /> RED DIESEL ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> Is the UDC free of damage, water, debris, and hazardous substances and all sensors located to <br /> detect a release at the earliest opportunity? 0 No UDC(s) at this facility <br /> UDC ID Yes No UDC ID Yes No <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ Mechanical float mechanisms used in UDCs. <br /> All answers marked "No"must be described by the designated UST operator in Section 3. <br /> Page 3 of 4 <br />
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