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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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975
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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
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EHD - Public
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SWRCB,January 2002 Page Z3 ofd <br /> �® 5. SECONDARY PIPE TESTIN <br /> Test Method Developed By: ❑Piping Manufacturer ustry Standard ❑Professional Engineer <br /> , 0 Other(Spec) <br /> Test Method Used: allressure 0 Vacuum ❑Hydrostatic <br /> 0 Other(Spec) <br /> Test Equipment Used: „f 2 t" Equipment Resolution: <br /> q. .- "• U r� res, r �. � � .uar,;usmw. .. ? Ue & �t4�ate: <br /> Piping Run# Piping Run# Piping Run# Piping Run# <br /> Piping Material: <br /> Piping Manufacturer: V) g+ <br /> Piping Diameter: <br /> Length of Piping Run: <br /> Product Stored: 17ews <br /> Method and location of <br /> piping-run isolation: cark7 e 0 6e a&4C) <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(Ri): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: Z <br /> Change in Reading(RF=R1): <br /> Pass/Fail Threshold or <br /> Criteria: <br /> Test Result: Apass 0 Fail Pass ❑Fait ❑ Pass ❑Fail ❑ Pass ❑Fail <br /> Comments— (include information on repairs made prior to testing, and recommended follow-up_for failed tests) <br />
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