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COMPLIANCE INFO_1986-2006
Environmental Health - Public
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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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-"-D, 'Results of Testing/SerVICIMk <br /> a <br /> Software Version Installed: <br /> Complete tatefollowing checklist: <br /> Yes ❑ No* .Is the audible alarmoperational? <br /> Yes I ❑ No* Is the visual alarm operational? <br /> es I ❑ No* Were all sensors visually ected,functionally tested,and confirmed operational? <br /> O <br /> Yes ElNo* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their Eover operation? <br /> ❑ Yes ❑ No* If alarms are relayed to a .remote monitoring station, is all communications equipment (e.g. modem) <br /> N/A operational? <br /> ❑ Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> N/A monitoring system detects a leak, fans to operate,or is electrically disconnected? If yes:which sensors initiate <br /> positive shut-down? (Check all that apply) ❑ Sump/Trench Sensors; ❑Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks agd sensor failure/disconnection? ❑Yes; ❑No. <br /> Cl No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i_e. no <br /> N/A mechanical overfM prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill oint(s)and o era ' r erl ? If so,at what percent of tank capacity does t&alarm trigger? <br /> Gl Yes* qkNo Was any monitoring equipment replaced? If yes,identify specific sensors,probes,or other equipment replaced <br /> and'list the manufacturer name and model for all replacement parts in Section E,below. <br /> iyK,ye=s <br /> * No Was liquid found inside any secondary containment systems designed as dry systems? (Check all Haat apply) El <br /> Product; ❑Water. If s,describe causes in Section E,below. <br /> ❑ No* Was monitorin s tem set reviewed to ensure er settin ?Attach set u r orts,if a licable <br /> I ❑ No* I Is all monitorin a went operational per manufacturer's cifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> Page 2 of 3 03/02 <br />
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