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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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r <br /> PUBLIC HEALTH SERVICES SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br /> (209) 468-3420 <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility Name e QL I ( <br /> Facility Address COT T F5 r 2,4.A- A- <br /> Facilty Contact Cjfis Title J7, E , Phone N - 1-7 (I <br /> Program 1D# Number of UST(s) <br /> UST#/Product 3 <br /> Overfill Prevention: and d Visual Mechanical <br /> Piping system: Gravity Pressure Suction Ne <br /> Monitoring system .fit �Vt <br /> Automatic pump shutdown satisfies CCR2636 (g): Yes No <br /> VIOLATIONS) <br /> The above facility is not in compliance with the following section(s)of Health& Safety Code <br /> (HSC) and/or California Code of Regulations(CCR): <br /> 1 HSC 25284 Permit to operate <br /> 2 HSC 25292.3 Upgrade compliance certificate/sticker <br /> 3 CCR 271 l(b)&(c) Current State Form A&B <br /> 4 HSC 25292.2 Certification of financial responsibility and letter from chief financial <br /> officer <br /> 5 CCR 2630 (d) Continuous monitoring system for UST system <br /> 6 CCR 2636(c)(1) All releases in secondary piping flow to a collection sump <br /> 7 CCR 2636(a) Secondary containment for piping is waterproof <br /> 8 CCR 2636(f)(2) Automatic line leak detector(s) <br /> 9 CCR 2636(f)(1) Continuous monitoring system for underground piping <br /> 10 CCR 2632 (c)(2) Continuous monitoring system for UST <br /> 11 HSC 25291(a)(2) Secondary containment for UST is tight <br /> 12 CCR 2636(f)(1) Continuous monitoring system for dispenser system <br /> 13 CCR 2635 (b)(1) Spill container <br /> 14 CCR 2635 (b)(2) Overfill prevention system <br /> 15 CCR 2631 (a) Primary containment is product-tight <br /> 16 HSC 25292.1 UST system is operated to prevent unauthorized release <br /> 17 CCR 2650 Recording/reporting unauthorized release <br /> 18 CCR 2632 (d) Monitoring and response plan <br /> 19 CCR 2712 (i) Monitoring and response plan is on site <br /> 20 CCR 2712 (b) Maintenance and monitoring records <br /> 21 CCR 2636(f)(4) Annual line tightness test <br /> 22 CCR 2630(d) Annual line leak detector test <br /> X23CCR 2630(d) Annual monitoring certification <br /> 24 CCR 2643 (d) Daily monitoring of suction piping that is not continuously <br /> monitored <br /> PHS 260(8/04/00) 1 of <br /> I <br />
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