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COMPLIANCE INFO_2019
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_2019
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Last modified
12/31/2020 1:15:46 PM
Creation date
8/25/2020 11:41:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
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
KBlackwell
Tags
EHD - Public
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2 QUIN_ , GZ SAN <br /> , co <br /> J OAQ U I N Environmental Health D <br /> epartment <br /> to - !I' - 1 7 COUNTY Kase Foley, REHS , Interim <br /> Director <br /> C"9CIFOF�\P Greatness grows here . PROGRAM COORDINATORS <br /> Robert McClellon , REHS <br /> Jeff Carruesco , REHS , RDI <br /> Willy Ng , REHS <br /> Muniappa Naidu , REHS <br /> Michael Kith , REHS <br /> Melissa Nissim , REHS <br /> November 14 , 2019 <br /> Elite IV Contractors <br /> 2535 Wigwam Drive <br /> Stockton , CA 95205 <br /> Re : Lodi Memorial Hospital SR0081264 <br /> 975 S Fairmont Ave , Lodi CA 94240 <br /> The San Joaquin County Environmental Health Department ( EHD ) has completed the review <br /> of the application for a one hour plan check service request to replace penetration fittings in <br /> the 91 and Diesel turbine sump for the underground storage tank ( UST) system at the above <br /> noted address . The permit 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 Shewit Woldearegay at (209 ) 468 - 0216 to arrange the following inspection <br /> appointments ( a 48 - hour notice is required for inspection appointments) . Please be <br /> aware that inspections for emergency work must be scheduled within five days of <br /> permit approval . <br /> a . Visual inspection of the penetration fittings/piping within the sumps for any leaks <br /> 4 . Any individual performing the work of a service technician must meet the following <br /> qualifications : <br /> a . Possess or be employed by a person who possesses one of several permissible <br /> valid , current contractor' s licenses issued by the Contractors State License Board <br /> ( may be issued to the installation company) , or a Tank Tester' s license issued to the <br /> individual by the State Water Board , and <br /> b . Possess or work under the direct and personal supervision of an individual <br /> physically present at the work site who possesses a valid , current California UST <br /> Service Technician 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 possess or <br /> work under the direct and personal supervision of an individual physically present at the <br /> work site who possesses all of the following : <br /> a . A valid , current contractor' s license issued by the Contractors State License Board , <br /> and <br /> 1868 E . Hazelton Avenue Stockton , California 95205 T 209 468-3420 F 209 464 -0138 1 www. sjgov . org/ehd <br />
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