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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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f aA <br /> SWRCB,January 2002 Page of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑Tank Manufacturer ❑Industry Standard ❑Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum ❑Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used:Dwyer Manometer Equipment Resolution:+/-2% <br /> Tank# 1 Tank# Tank# Tank# <br /> Is Tank Exempt From Testing?' ❑Yes x No ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> Tank Capacity: 5,000 <br /> Tank Material: Fiberglass <br /> Tank Manufacturer: Unknown <br /> Product Stored: Diesel <br /> Wait time between applying <br /> pressure/vacuum/water and 30 Min <br /> starting test: <br /> Test Start Time: 9:35 <br /> Initial Reading(Rj): 7.67 <br /> Test End Time: 10:35 <br /> Final Reading(RF): 7.65 <br /> Test Duration: 1 Hour <br /> Change in Reading(RF-RI): .02 <br /> Pass/Fail Threshold or Criteria: No less 1"drop <br /> Test Result: z Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fait ❑ Pass ❑Fail <br /> Was sensor removed for testing? x Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No [INA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and x Yes ❑No ❑NA ❑Yes 11 No 11 NA ❑Yes ❑No ❑NA ❑Yes ❑No El NA <br /> verified functional after testin ? <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> ' Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary <br /> containment,such as systems that are hydrostatically monitored or under constant vacuum,are exempt from periodic containment <br /> tacf;n" frnlifnr ;n('Arles Titles 11 IzApt/nn')AIWOV6�t <br />
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