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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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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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EHD - Public
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has been examined and reviewed by a third party Professiona[ Engineer. Tine Service <br /> Technician will perform all Hydrostatic 'resting using the Caldwell Systems level <br /> Change Indicator. The sump will be inspected prior to testing. If necessary the sump <br /> will be cleaned prior to addition of testing fluid. All test fluid will be supplied and <br /> recovered for reuse by the Service Technician performing the test. The Service <br /> Technician will test at a level of 2"above the highest penetration to include electrical <br /> penetrations unless otherwise expressly recommended by the local regulatory agency to <br /> test at a higher or lower level. Sumps 1101 equipped with fail safe sensors will be tested at <br /> a level to include the entire sump unless otherwise expressly recommended by the local <br /> regulatory agency to test at a lower level. <br /> Under Dispenser Containment—The Service 'Technician will test and certify using <br /> methods developed and recommended by the UDC Manufacture, Industry Standard or <br /> Professional Engineer. The test procedure recommended and used is Hydrostatic with a <br /> level change indicator that has been developed to indicate a standard leak rate of%4 inch <br /> in 24 hours within 30 minutes.and has been examined and reviewed by a third party <br /> professional engineer. The Service Technician will perform all Hydrostatic "resting using <br /> the Caldwell S)sterns Level Change Indicator. The UDC wil[ be inspected prior to <br /> testing. If necessary the UDC will be cleaned prior to addition oftesting fluid. All test <br /> fluid will be supplied and recovered for reuse by the Service 1 echnician performing tine <br /> test. The Service Technician will test at a level 2"above the highest penetration to <br /> include electrical penetrations unless otherwise expressly recommended by the local <br /> regulatory agency to test at a higher or lower level. Sumps not equipped with fail safe <br /> sensors will be tested at a level to include the entire sump unless otherwise expressly <br /> recommended by the local regulatory agency to test at a lower level. <br /> Entire Agreement and Procedure—There are no understandings or agreements between <br /> the parties with respect to the agreement or procedure or the services to be rendered <br /> hereunder. except as herein expressly stated. <br /> Reference: PEI/RI-11200-17 <br />
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