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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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San Joaquin County <br /> a�!N <br /> ®P' c <br /> Environmental It D/DonnaOHeran,REHS <br /> 1868 East Hazelton Avenue <br /> N' { Stockton, California 95205-6232 PROGRAM cooRD►NaroRs <br /> Robert McClellon,REHS <br /> Jeff Carruesco,REHS,RDI <br /> c •. '•.• 'P <br /> Website: WWW.SJgOV.OPy/ehd Kasey Foley,REHSLinda Turkatte,REHS <br /> Phone: (209)468-3420 Rodney Estrada,REHS <br /> Fax: (209)464-0138 Adrienne Ellsaesser,REHS <br /> October 28, 2013 <br /> Kim White <br /> Elite IV Contractor's, Inc. <br /> 2535 Wigwam Dr. <br /> Stockton, CA 95205 <br /> Re: Lodi Memorial Hospital 975 S. Fairmont Ave. Lodi, CA 95240 SR0068285 <br /> The San Joaquin County Environmental Health Department (EHD) has completed the review of <br /> the application for a permit to install Diversified Products Manufacturing repair kit MSZ BLS for <br /> the electrical penetrations in the vent transitions sump, fill sump, and turbine sump on the <br /> underground storage tank (UST) system at the above noted address. The permit has been <br /> 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. Visual Inspection: verify that penetrations have been installed and that brine is not <br /> leaking from into or out of the repaired sumps. <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 /> 5. Qualified installers must possess or work under the direct and personal supervision of an <br /> individual physically present at the work site who possesses all of the following: <br />
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