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COMPLIANCE INFO_2015-2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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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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SANdOAQ N Environmental Health Department <br /> U Uil h ` COUNTY <br /> Linda Turkatte, RENS, Director <br /> cq P Greatness grows here. Kasey Foley, REHS,Assistant Director <br /> PROGRAM COORDINATORS <br /> Robert McClellon, REHS <br /> Jeff Carruesco, REHS, RDI <br /> Rodney Estrada, REHS <br /> Willy Ng,REHS <br /> Muniappa Naidu, REHS <br /> November 2, 2017 <br /> MEGAN MITCHELL <br /> ELITE IV CONTRACTORS <br /> 2535 WIGMAN DR. Sent by Email and Certified Mail <br /> STOCKTON, CA 95205 <br /> RE: Lodi Memorial Hospital, 975 S. Fairmont Ave., Lodi, CA 95240 SR0078339 <br /> The San Joaquin County Environmental Health Department (EHD) has completed the review of the <br /> application for a permit to replace the S3, Veeder Root 463 vacuum sensor on the Underground <br /> Storage Tank (UST) system at the above noted address. This work was completed on June 27, 2017. <br /> The permit has been approved with the following conditions: <br /> 1. Contact the local fire department and the San Joaquin Valley Air Pollution Control District for any <br /> applicable permits and requirements. <br /> 2. Any changes in information and scope of work must be submitted to EHD for approval prior to <br /> commencing work. All new addenda supersede the previous ones. <br /> 3. A 48-hour notice is required for inspection appointments. Please be aware that inspections for <br /> emergency work must be scheduled within five days of permit approval. <br /> • Sensor functionality: Functionality of the S3 sensor was verified during the October 26, <br /> 2017 Monitoring System Certification. No further inspections are required for this permit <br /> at this time. <br /> 4. Any individual performing the work of a service technician must meet the following qualifications: <br /> a. Possess or be employed by a person who possesses one of several permissible valid, <br /> current contractor's licenses issued by the Contractors State License Board (may be <br /> issued to the installation company), or a Tank Tester's license issued to the individual by <br /> the State Water Board, and <br /> b. Possess or work under the direct and personal supervision of an individual physically <br /> present at the work site who possesses a valid, current California UST Service Technician <br /> certificate issued by the International Code Council (ICC), and <br /> c. Possesses a valid, current certificate of training from the manufacturer(s) of the <br /> component(s) being tested, repaired, or serviced. <br /> 5. Individuals installing underground storage tank system components must possessor work under <br /> the direct and personal supervision of an individual physically present at the work site who <br /> possesses all of the following: <br /> a. A valid, current contractor's license issued by the Contractors State License Board, and <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br /> P RW31331 r-A0000r13 <br />
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