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COMPLIANCE INFO_2009-2014
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231331
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COMPLIANCE INFO_2009-2014
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Last modified
1/4/2021 1:20:05 PM
Creation date
6/3/2020 9:44:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2014
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_2009-2014.tif
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EHD - Public
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i 0FILE COP1I <br /> San Joaquin County <br /> Environmental Health Department DIRECTOR <br /> �• ,ate QG Donna Heran,REHS <br /> 1868 East Hazelton Avenue <br /> a: "� <br /> W { Stockton, California 95205-6232 PROGRAM COORDINATORSRobert McClellon,REHS <br /> • Jeff Carruesco,REHS,RDI <br /> Cq��FO.R��P Website: www.sjgov.org/ehd Kasey Foley,REHS <br /> Linda REHS <br /> Phone: (209)468-3420 Rodney Estrada,REHS <br /> Fax: (209)464-0138 Adrienne Ellsaesser,REHS <br /> September 25, 2013 <br /> Kim White <br /> ElitelV Contractor's, Inc. <br /> 2535 Wigwam Dr. <br /> Stockton, CA 95205 <br /> Re: Lodi Memorial Hospital 975 S. Fairmont Ave. Lodi, CA 95240 SR0067999 <br /> The San Joaquin County Environmental Health Department (EHD) has completed the review of <br /> the application for a permit to install a Veeder-Root 857080-112 sensor in the diesel primary fill <br /> sump on the underground storage tank (UST) system at the above noted address. The permit <br /> has been approved with the following conditions: <br /> 1. Contact the local fire department and the San Joaquin Valley Air Pollution Control <br /> District for any applicable permits and requirements. <br /> 2. Any changes in information and scope of work must be submitted to EHD for approval <br /> prior to commencing work. All new addenda supersede the previous ones. <br /> 3. Contact Aris Cacapit at (209) 468-3453 to arrange the following inspection appointments <br /> (a 48-hour notice is required for inspection appointments). Please be aware that <br /> inspections for emergency work must be scheduled within five days of permit approval. <br /> a. Sensor functionality: Functionality of the monitoring system must be verified to <br /> ensure that monitoring has been restored to meet the requirements of Title 23 <br /> California Code of Regulations and the Health & Safety Code. If it is determined that <br /> a cold start is necessary, a copy of the alarm history shall be printed prior to <br /> performing the "cold start" of the Veeder Root system and made available at the time <br /> of EHD inspection. <br /> 4. Qualified service technicians must possess or work under the direct and personal <br /> supervision of an individual physically present at the work site who possesses all of the <br /> following: <br /> a. One of several permissible valid, current contractor's licenses issued by the <br /> Contractors State License Board (may be issued to the installation company), or a <br /> Tank Tester's license issued to the individual by the State Water Board, and <br /> b. A valid, current California UST Service Technician certificate issued by the <br /> International Code Council (ICC), and <br /> c. A valid, current certificate of training from the manufacturer(s) of the component(s) <br /> being tested, repaired, or serviced. <br />
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