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COMPLIANCE INFO_2020
Environmental Health - Public
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2800 - Aboveground Petroleum Storage Program
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PR0526379
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COMPLIANCE INFO_2020
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Last modified
7/24/2020 1:59:24 PM
Creation date
6/2/2020 3:00:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2800 - Aboveground Petroleum Storage Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0526379
PE
2832
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\dsedra
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EHD - Public
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STI SP001 Portable Container Monthly Inspection Checklist <br /> General Inspection Information: <br /> Inspection Date: Prior Inspection Date: Retain until date: <br /> Inspector Name (print): Title: <br /> Inspector's Signature(): <br /> Container(s)inspected ID <br /> Regulatory facility name and ID number(if applicable) <br /> Inspection Guidance: <br /> ➢ This checklist is intended as a model. Locally developed checklists are acceptable as long as they are substantially equivalent (as applicable). <br /> ➢ This periodic Inspection is intended for monitoring the external condition and its containment structure. This visual inspection does not require a <br /> Certified Inspector. It shall be performed by an owner's inspector who is familiar with the site and can identify changes and developing problems. Note <br /> the non-conformance and corresponding corrective action in the comment section. <br /> ➢ Retain the completed checklists for at least 36 months. <br /> Item Area: Area: Area: Area: <br /> Portable Container Containment/Storage Area <br /> 1 Are all portable container(s)within designated ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No ❑Yes 11 No <br /> storage area? <br /> 2 Is the containment and storage area free of excess <br /> liquid, debris, cracks or fire hazards? ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No ❑Yes 11 No <br /> 3 Are drain valves closed and in good working ❑Yes ❑ No 11 N/A ❑Yes ❑ No 11 N/A ❑Yes ❑ No 11 N/A ❑Yes ❑ No 11 N/A <br /> condition. <br /> 4 Are containment egress pathways clear and any ❑Yes ❑ No 11 N/A ❑Yes ❑ No 11 N/A ❑Yes ❑ No 11 N/A ❑Yes ❑ No 11 N/A <br /> gates/doors operable? <br /> Container <br /> 5 Is the container free of leaks? <br /> Note: If"No", identify container and describe ❑Yes 11 No ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> leak. <br /> 6 Is the container free of distortions, buckling, ❑Yes 11 No ❑Yes 11 No ❑Yes ❑No ❑Yes ❑No <br /> denting or bulging? <br /> Portable Container Checklist Page 1 of 2 <br />
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