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COMPLIANCE INFO_2009-2014
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_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
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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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RECEiv <br /> 000829 1� 31 t3 f MAR - 5 2008 <br /> OAKI UN-M <br /> UNIFIED PIROMAM C6NS0LW-4TED FORM ENVIRONMEI ITAL <br /> UNDERGROUND STORAGE TANK HEALTH DEPAR WENT <br /> OPICRATMG PERMIT.APPLICATION-TANK INFORMATION(Ono Tome <br /> es <br /> 6t-'fl.' •YPE'Or Acnw(Chu*one item only.Foran UST tmsnent clotura or tamgral,cotnplota or this section and Section:Is 11,fl).IV,and IX below 430 <br /> ❑ I.NIEW PERMIT ❑3.RIINSWAL PP IT ❑S CHANGEOF INFORMATION <br /> G TEMPORARY UST CLOSURE 7.UST PERMANENT CLOSURE ON SITE 13&UST REMOVAL <br /> DATE UST PERMANENTLY CLOSED. 41" DA7 8 EXJSTIINO UST DISCOVERED: 41a <br /> L FACILITY INFORMA'T'ION <br /> FACLLITY 1D a(Agency Use Onp1) e <br /> DUSINESSNAME(Same=FACILITY NAME orD8A-Do1ngB41ainmAa) <br /> octi POW al BUSINESS SITE ADDRSz ( r 'Faimon+ ' CITY dR( <br /> II,TANKDESCRTION <br /> , eas <br /> ' <br /> UK 10 p ' 03 TANK MAN -ACTURBR IS A CONFIGURATION.THIS TAM IS 434 <br /> . � � �'��� •� Z.ONSINACASTAWO-OMPARTMLNTSD UNIT' <br /> � MUTANK <br /> 53' r <br /> ra elan nt eem4. <br /> a /)' .7 41 TANK CAP CITY IN�CONS 434 NUMBER OP COMPARTMENTS M THE UNIT <br /> 2-Of One,III.TANK USE AND(:ONTENT'S <br /> TANK USE ❑ ILmDTmvmtC1.R0URUN0Q Ib.MARTNAPUBLING Io.AVIATIONPUELINO <br /> L]3.CHEMICALPROOUCTSTORAOB O 4.HAZARDOUS WAST80rtld mUsedOR) S.EMeRGBNCYOENRRATORFUBLIRSCF1sza13(ep <br /> 6.OTH8RGEN8RATDRIIUSL []95.lAYKNOWN 99.OTBAR. i 43:a <br /> CONTENTS PETROLRUM: Q ILREQUI. tUNLEADED Q Ic.MIDORAORUNLEADED Q 1h.PRMIUMUNLEADSD 449 <br /> 3.DIBSBI. ❑S.Jur PUEL Q 4.AVIATION OAB <br /> ❑1.PETROIBUM BLEND PURL 9.OTflBRABTROLeUM 4496 <br /> NON•PETROLU M L7 T.UBeD OIL 10.BPHAN01. _ <br /> 13 I i.OTHER N N•PETROLBUM gi146 <br /> IV.TANKCONSTRUCTION <br /> TYP$OF ANK I.SINGLE WAU3.1PRIBUOLASS <br /> LL 95.VNKNOWN 443 <br /> PRIMARYCONTAINMENT S.STERL 4.INTRRNA(.BLADDER 444 <br /> ❑7.ST8IIL+INTQ93.UNKNOWN 9P.OTNBR 5 ct Nor <br /> SWONDARYCONTAINMENT t.STElyd. 6BXTBR[ORMRr1BRAN8LINRR JACKETED445 <br /> 99.OTH8R N:9 <br /> (yAFI RIi TJON I.AUDtBL6dc VISVALALARM$ 4.RALLPLOAT s. ETUBBOHM-OFF VALVE 45L <br /> g 4.TANKMBEI8RB IRBMBWSFORBXSMPTRILYMMOVBRPILLPRBVP.NTION UU'MBNT <br /> V. PRODUCT WASTE PIPING CONSTRUCTION <br /> PIPING am-7RUCtLON I SINOLB•WALLED mums 0WOTHER 440 <br /> STSTEMTYPE. LPRIISSURA 2 RAVITY &CONVONTIONALRUCTION fl4.SAflSUCTION!z3CCRUM5(4M 4 <br /> ,Md ,% I.STEBLI.PI gLAS6 RF XIBLE L I t0.RIGID PLASTIC 464 <br /> 9A NON11 L]93.UNKNOWN 13-.0mmt(S.,110 464: <br /> bARYCONTAM 1.STEEL �4.FIBBRGLASS LPL NMZ LO.RtGIDPLASTIC 4 <br /> EI 90.NONE GI 9S i1HLfNOWN 9P.GTNBR 164e <br /> PfPI 1NB NMENT MPTYPE Ll I.SINOLBWALL DOUBLEWALL Q 90.NONR 4 <br /> E_::s _• k-sir;,�*;,Y - , .._7`:VARLiR;�tEEUVEI Y1. R'AND=FRU, L P.[STRTJ T�Q.,I,'t! .... <br /> VENT PRIMARY A1NMlINT I.STTRIL FI 0' 1T:ASTIC'"' W .OTHER(Speel e1 4Ms <br /> VIEW BACONDARYCONTAINMENT 13 1 STEEL 0 4-PIM 10.RIOM 90.NONE .CTHBR(Spedry) V 461f <br /> 464n <br /> VR YCONTAINMRNT I STEEL 4.FIBBRO 10.RIOIDPL 90.NONB 99.OTHBR( ae 4649 <br /> IL 1 <br /> VRSECONDMYCONTAINMBNT n I STBBL 114.PI8BRGLA83 LI 10-RIGIDPLASTIC A ¢ 9.GTHE (Eyre ) 464e1 <br /> VEKT FIFINCIVANSITIONSUMPTYPE E3 t S 81, <br /> 4FBG MRISER PRIMARY CONTAINMENT 1.VWL IGFI)PLWAASTLIC 4411 <br /> 90.NONR 00.OTHBR(Spe9w 4611 <br /> 464 t <br /> RISER SECONDARYCONTAI MBNT 1.STML 4.FIBERGLASS 10.RLGIDPLASTIC 90.ttON8 e.OTRER(8"dfj) 4 <br /> 46441 <br /> I'.fill COMPO" N S-INATALLBp''- LS BUgCtLT 3.STRIKF1tPLATBIB PROTECTOR 4-CONTAINMBNTam? 4 4� <br /> VII.CINDER DISPENSER CONTAINMENT(DOC) <br /> CONSTRUCTIONTYPS Q 1.L.40LEWALL DOUBLE WALL D$.140DLSP814SBRS ©90.NONR 441, <br /> CONSTTtUCT30NMATERIAL El 1.STBSL tF4.PIBERGLASS Eli RIGIDP1.ASTYC 99.OTHRR lbeiN4 � <br /> :.VIII::Gt)RROSION•Pdt©7'E1.'r17.ON>.��.' <br /> ST@BLCOMPONBHTPROTILCTION I3 2.SACRIFICIALANODE(S) 13 LIMPRBS64I)CURRRNT 6.ISOLATION 44L <br /> IX. APPLICANT SIGNATURE <br /> CERTIFICATIONt 1 certify that this USTSYS(em Is eampalbb wUh the hazardous subtlahee stored and that the Infarmatlon provided hor eln I9 tne,accurate, <br /> and In ILIA com]Lance wtlh leml re uiremtnts. <br /> ,DATE.a 410. <br /> !ifPYl N711N)$ ). 4 (!iPRTeECAI �'aT4& "" ,u rJl 4n <br /> UPCF USI-B-Itz Rev.(1212007) <br />
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