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COMPLIANCE INFO_1986-2006
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_1986-2006
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Last modified
6/20/2023 9:32:19 AM
Creation date
6/3/2020 9:43:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1986-2006
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\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231331_975 S FAIRMONT_1986-2006.tif
Tags
EHD - Public
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SWRCB,January 2002 Page of <br /> 9. SPILE OVERFILL CONTAIl'11VI NT]SORES <br /> Facility is Not Equipped With Spill/Overfill Containment Boxes ❑ <br /> Spill/Overfill Containment Boxes are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑Spill Bucket Manufacturer Industry Standard ❑Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum Hydrostatic <br /> ❑Other(Sped) , <br /> Test Equipment Used: ,(> tee. Equipment Resolu;tion ry�ry6�(P g &&pp// ))yyppryry,AA.. <br /> .. n .._4.. <br /> F, <br /> E <br /> Spill Box# Spill Sll Box# ill Box# Spill Box#( P <br /> Bucket Diameter: <br /> Bucket Depth: l <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(Ri): 6 <br /> Test End Time: <br /> Final Reading(RF): z <br /> Test Duration: 30 rXIAI <br /> Change in Reading(RF-RI): <br /> Pass/Fail Threshold or <br /> Criteria: <br /> Test Result: PaFail ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail <br /> ss ❑ <br /> Commeni i (include information on repairs made prior to testing and recommended follow-u for failed tests) <br /> Please direct any comments regarding this form to: <br /> SWRCB UST Program,Attn:Scott Bacon <br /> 1001 "1"Street,Box 944212 <br /> Sacramento,CA 95814 <br /> Phone: (916)341-5873,Fax: (916)341-5808 <br /> e-mail:bacons@cwp.swrcb.ca.gov <br />
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