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COMPLIANCE INFO_2020
Environmental Health - Public
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EHD Program Facility Records by Street Name
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FAIRMONT
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2300 - Underground Storage Tank Program
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PR0231331
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COMPLIANCE INFO_2020
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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
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SJGOV\kblackwell
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EHD - Public
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SWRCB,January 2002 f, (d <br /> 6. PIPING SUMP TESTING <br /> 'fest Method Developed By: ❑Sump Manufacturer ❑Industry Standard X Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum X Hydrostatic <br /> ❑Other(Spec) _ <br /> Test Equipment Used: Caldwell Level Change Indicator Equipment Resolution: .002 <br /> Sump# 1 Sump# Sump# Sump# <br /> Sump Diameter: 42" <br /> Sump Depth: 46" <br /> Sump Material: Fiberglass <br /> Height from Tank Top to Top of Product 16" <br /> Highest Piping Penetration: <br /> Height from Tank Top to Lowest 21" <br /> Electrical Penetration: <br /> Condition of sump prior to testing: Dry <br /> Portion of Sump Tested' Water Line 25" <br /> Does turbine shut down when <br /> sump sensor detects liquid(both N/A Suction System <br /> product and water)?* <br /> Turbine shutdown response time N/A <br /> Is system programmed for fail-safe N/A <br /> shutdown?* <br /> Was fail-safe verified to be N/A <br /> operational?* <br /> Wait time between applying water <br /> 5 Minutes <br /> and starting test: <br /> Test Start Time: 9:27 <br /> Initial Reading(RI): .001 <br /> Test End Time: 9:57 <br /> Final Reading(RF): .001 <br /> Test Duration: 30 Minutes <br /> Change in Reading(RF-RI): 0 <br /> Pass/Fail Threshold or Criteria: .005/30 Minutes <br /> Test Result: Pass <br /> Was sensor removed for testing? Yes <br /> Was sensor properly replaced and Yes <br /> verified functional after testin ? <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> System is Suction Supply and Gravity Return for Emergency Generator. <br /> ' If the entire depth of the sump is not tested,specify how much was tested. If the answer to gAy of the questions indicated with an <br /> asterisk(*)is"NO"or"NA",the entire sump must be tested. (See SWRCB LG-160) <br />
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