My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2020
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
F
>
FAIRMONT
>
975
>
2300 - Underground Storage Tank Program
>
PR0231331
>
COMPLIANCE INFO_2020
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/4/2021 7:40:29 AM
Creation date
6/1/2020 11:51:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
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\kblackwell
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
131
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Underground Storage Tank6 01* <br /> /r/JP <br /> Secondary Containment Testing Resort Form <br /> 8 SUMP/ UDC TEST <br /> Test Method Developed by ITS Manufacturer U Industry Standard E[ Professional Engineer <br /> Test Type Pressure Vacuum ( Hydrostatic <br /> Test Equipment Usedi� <br /> Sump/ UDC ID <br /> Sump Manufacturer <br /> Sump Depth ( inches ) '7 <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration <br /> inches I Li <br /> linin <br /> Test Start Time 0 Y„ ; <br /> Initial Reading ENVIRONMENTAL HEAL pFRDAi :Lj <; F S <br /> Test End Time <br /> Final Reading 3 � s <br /> Change in Reading <br /> Pass/Fail Criteria P <br /> Tightness Test Results Pass Fail FdPass Fail ass I Fail Pass Fail <br /> Sump/ UDC ID <br /> Sump Manufacturer <br /> Sump Death ( inches ) <br /> Sump Bottom to Top of <br /> Highest Pipe_ Penetration - - <br /> inches <br /> Test Start Time <br /> Initial Reading <br /> Test End Time <br /> Final Reading <br /> Chance in Reading <br /> Pass/ Fail Criteria <br /> Tightness Test Results V7 Pass 17 Fail II f Pass ELF <br /> ail L7 Pass r Fail IST Pass r7 Fail <br /> Additional copies of this page may be attached. <br /> All tesfs marked "Fail' and any repairs made before or during the tightness test must be described in <br /> the COMMENTS section . <br /> Page 3 of 5 <br />
The URL can be used to link to this page
Your browser does not support the video tag.