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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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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 6. SENSOR TESTING RESULTS <br /> List only sensors tested on date of this certification. List "Sensor ID"as labeled in system <br /> programming. Additional copies of this page may be attached to accommodate all sensors tested. <br /> Sensor lD Sensor Model Component(s) Monitored Pass Fail <br /> L 1 304 VENT TRANS SUMP BRINE IR ❑ <br /> L 2 304 LINE TRAN SUMP BRINE IX ❑ <br /> L 3 303 DIESEL ANNULAR x ❑ <br /> L 4 304 REMOTE FILL BRINE N ❑ <br /> L 5 304 TANK FILL BRINE x ❑ <br /> L 6 304 DIESEL STP BRINE N ❑ <br /> S1 VAC FUEL OIL RETURN x ❑ <br /> S2 VAC FUEL OIL SUPPLY N ❑ <br /> S3 VAC VENT LINE ix ❑ <br /> S4 VAC REMOTE FILL BRINE N ❑ <br /> S9 MAG VENT TRANSITION SUMP N ❑ <br /> S10 MAG SUPPLY LINE TRAN SUMP N ❑ <br /> S 11 MAG REMOTE FILL SUMP N ❑ <br /> S12 MAG TANK TOP FILL SUMP N ❑ <br /> S13 MAG DIESEL STP SUMP N ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> Describe all answers marked "No"or "Fail'and proposed remedy in Section 9. <br /> List all monitoring equipment either replaced or repaired in Section 9 <br /> Page 3 of 6 <br />
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