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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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8. a. Describe the method that will be utilized to purge and/or Inert the tank(s): <br />b:5 E)e- r- /no IQ a-L/oyL--Z!, <br />b. Tank/Piping Hauler. <br />Name <br />Address _city -6 <br />Zip (3 Z 2 <br />Phone No.( <br />1:a M -r . 0: - ILI <br />low M! <br />C. Tank(Piping Disposal Site: <br />Name -D-1 O -n at'- &LC,-aMeA-:D <br />Address city—tL&C-& Zi (3 Z <br />Phone No( -q I G qD-1 - / 9 9 0 <br />EPA 10D# Cif tmasported to a permitted TSD facility) <br />9. Describe, in detail, how the soil and/or water sample(s) beneath the tank and piping will be obtained: <br />�rnDle 5 -2 and 41 U's-In'l <br />10. Describe how the excavation will be backtilled with suitable material upon removaL <br />Ort <br />90 /oCrCA-/L-1- <br />11. Han Ming of excavated soil: <br />a) What material will be used to line the tank pit and cover the stockpile. <br />plaz-4-z c, .5Aec-7/,O.* <br />'V <br />b) What will be the final destination of the excavated stockpile <br />I <br />L b <br />a <br />Con4amln&-kA- n Gcsc d15F03::- <br />c) Contaminated Soil Hazardous Waste Hauler. C f Cwto *'I C a+L6v— <br />Hauler Registration # <br />Addre§p;�V �—O Ci Zip <br />Phone No.( <br />
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