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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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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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0 <br />C. Describe method to be used for decontamination: <br />d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br />e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler Name <br />Hauler Registration # _ <br />Address--. 15 -ox ------------ City -- _ ialp_f <br />Permitted Disposal Site—_ _ <br />7. a. Describe the methoo that will be utilized to purge and/or inert the piping: <br />C <br />c. <br />D <br />Piping Hauler: <br />Name fir" -— - ----=- -- nc <br />►— °--- --- <br />Address__q&it .= - °ty --f-S-- City � — -- Zip - -�-�- - -- <br />Phone ( 5 )_�2-11 <br />Hauler Registration # (if hauled as hazardous)_-_ <br />Piping Disposal Site: <br />Name_ � �D_vl� _ —_ ___ Phone <br />Address-L2_L-a_ ��_ itY_��� <br />EPA ID# (if transported to a permitted TSD facility)__--- _ <br />Is the sampling firm an independent third party from the contractor? YEW NO [ ] <br />Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will be <br />obtained: <br />
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