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COMPLIANCE INFO_2015-2018
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_2015-2018
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Last modified
6/20/2023 2:14:17 PM
Creation date
6/3/2020 9:44:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2015-2018
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_2015-2018.tif
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EHD - Public
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R&CSrEft WE D <br /> UST Monitoring Site Plan <br /> NOV 3 0 2017 <br /> Site Address: LODI MEMORIAL HOSPITAL 975 FAIRMONT AVENUE LODI CA 95240 <br /> EWRONMEN TAL HEALTH. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . .QPTARTM�NT . . . .. .. . . . . .. . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> F1 F2 <br /> . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Vent <br /> . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . P . . . . . . . . . . . . . . . . . . X . . . <br /> TLS <br /> . . . . . . . . . . . . . . . . . . . 350 <br /> TL <br /> . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> T . . . . . . . . . . . . . . . . . . <br /> ax . . . . . . . . . . . . . . . . <br /> GEN <br /> . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . Day Tanks <br /> GA . . . <br /> . . . . . . . . . . . <br /> . . . . . . . . . . . . . I . . . . . . . . . . <br /> . . . . . . . . . . I . . . . . . . . . . . N <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . Vent <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> O <br /> HOSPITAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . I . . . . N <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . oteFill <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . I . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . ... ... OVERFILL . . . KEY <br /> . . . . . . . . . . . . . . . . . . . A=ANNULAR <br /> nutostik . . . . . . . . . . . . . . . . . . . . . . F=FILLS <br /> . . . . . . . . . . . . . T=TURBINE <br /> . . . . . . . . . . . . . . P=PROBE <br /> . . . . . . . . . . . . . . . . . . . . . . . . V=VAPOR <br /> . . . . . . . . . . . . . . . . . X=SUMP SENSOR <br /> . . . BUILDING . . . . . . . . . . . . . . L= PLLD <br /> . . . . . . . . . . . . . . . . . . . . . . . . . M=Manway <br /> . . . . . . . . . . . . . . . . . . . . . . . . B= Brine Sensor <br /> I= Smart Sensor <br /> S=STP <br /> . . . . . . . . . . . . . . <br /> Date map was drawn 10-26-17 <br /> Instructions <br /> If you already have a diagram that shows all required information,you may include it,rather than this page,with your Monitoring System Certification. On your site plan, <br /> show the general layout of tanks and piping. Clearly identify locations of the following equipment,if installed:monitoring system control panels;sensors monitoring tank <br /> annular spaces,sumps,dispenser pans,spill containers,or other secondary containment areas;mechanical or electronic line leak detectors;and in-tank liquid level <br /> probes(if used for leak detection). In the space provided,note the date this Site Plan was prepared. <br /> Monitoring System Certification Page 4 of 4 2/21/07 <br />
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