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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/Servicing* <br /> Software Version Installed: <br /> cofiviete the(4110 ing checklist: <br /> /Yes 0 No* Is the audible alarm operational? <br /> &Yes Q No* Is the visual alarm operational? <br /> O/Yes Q No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> rl—Yes El No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their 2=operation? <br /> Q Yes0 0* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> eNIA operational? <br /> 13 Yes6 For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> VNI; monitoring system detects a leak,fails to operate,or is electrically disconnected? If yes: which sensors initiate <br /> positive shut-down? (Check all that apply) Q Sump/Trench Sensors; Q Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? Q Yes; 0 No. <br /> Q Yes P',A& For tank systems that utilize the monitoring system as the primary tank overfill warning device (Le. no <br /> 21 N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and opemuLng prolwly? If so,at what ent of tank capacity does the alarm tri Mer? % <br /> C] yes* No. Was any monitormg equipment replaced? If yes,identify spm'fic sensors,probes,or other equipment replaced <br /> and Est the manufacturer name and model for all replacement REU in Section E,below. <br /> Yes* JX;N'o Was liquid f�idnd inside any secondary containment systems designed as dry systems? (Check all that apply)M <br /> Water. If yes,describe causes in Section E,below. <br /> I <br /> S 0 No* Was!R�system set-up reviewed to ensure proper settings?Attach set up reports,if apR�Eble <br /> Yes Q No* Is all T21�t�o Sp <br /> y Iment 2pgational 25 manufacairce s!pEEEc�ations? <br /> In Secfm E below,describe how and when these deficiencies were or will be corrected. <br /> omments: <br /> E. C 'I" V4 <br /> 7Ki IN .57,—AA12 <br /> Page 2 of 3 0"1 <br />
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