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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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May 06 03 11:31a RL TAR/WESTSTAR (55 77-0106 <br />MAY -06-2003 TUE 03:02 PM EIMPT FAX 1O. 800 AM329 P. 05 <br />Name of ATOS . ""' Auto 2.r211�. e <br />Version C tirl Autom tiC lank Gaurta <br />Limitations on the Results <br />The performance estimates above are only valid when: <br />• The methal has not been substantially changed. <br />• The vendoes instructions for installing and derating the ATGS are followed. <br />• The tank contains a product identified on the method description form. <br />• The tank is no larger than gallons. <br />• The tank is at least _3D_ percent full. <br />• The waiting time after adding any substantial amount of product to the tank is _NA- hours. <br />• The temperature of the added product does not differ more than degrees <br />Fahrenheit from that already in the tank. <br />. The total data collection time for the test is at least __4_. days. <br />• other limitations specified by the vendor of determined during testing: <br />The through j 9i.tanks us I <br />agogall= to D29 aatLmo <br />> Safety disclaimer: This test procedure only addresses the issue of the ATG system's <br />ability to detect leaks• it does not test the equipment for .safety rds. <br />Certification of Results <br />I certify that the ATGS was installed and operated according to the vendor's instructions and <br />that the results presented on this form are those obtained durinci the evaluation. I also certify <br />that the evaluation was performed according to one of the following: <br />( ) standard EPA test procedure for ATGS <br />(X) alternative EPA test procedure for ATGS"" <br />Janue <br />(date) <br />.eor- l.=1. 'TO s•f <br />r <br />P.5 <br /># leak <br />simulations In the field. This Is a modification of the alternate EPA protocol for ATO <br />ATGS Evaluation Page 2 of 2 <br />
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