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COMPLIANCE INFO_2021
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CALIFORNIA
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1800
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2300 - Underground Storage Tank Program
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PR0231036
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
12/22/2021 11:07:36 AM
Creation date
9/22/2021 9:01:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231036
PE
2361
FACILITY_ID
FA0003761
FACILITY_NAME
ST JOSEPHS HOSPITAL
STREET_NUMBER
1800
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
12718044
CURRENT_STATUS
01
SITE_LOCATION
1800 N CALIFORNIA ST
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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1800 North California Street PR0231036 <br /> September 27, 2021 Program: UST <br /> PHOTO 5: 11/18/2020 DO report with incorrect date of overfill prevention equipment inspection. <br /> >t: <br /> Designated <br /> Storage Tank <br /> gnated UST Operator usual Inspection Report <br /> 10, TESTING AND Date lest - <br /> Has MAINTENANCE Yes No NA performed <br /> monitoring system certification been completed within the past <br /> 12 months? 10/26/2020 <br /> o ❑ <br /> Has spill container testing been completed within the past <br /> 12 <br /> El <br /> months? 10/26/2020 <br /> as ove <br /> the past III Prevention <br /> r venti n equipment inspection been completed within <br /> Has seconds g C] ❑ 10/08/201 S <br /> 36 months? ry containment testin been completed within the past <br /> Ha0 ❑ El 10/14/2019 <br /> s tank ti <br /> timeframes,9 ss testing been completed within required <br /> Has line tightness testis ❑ ❑ ❑ <br /> timeframes? 9 been completed within the required <br /> Other Test/ ❑ El M(Maintenance: <br /> Other Test/Maintenance: ❑ ❑ 21 <br /> Other Test/Maintenance: ❑ ❑ F/I <br /> 11. FACILITY EMPLOYEE T ❑ ❑ 11 <br /> Have all individuals RAINING <br /> emPlo ee Performing facility em Yes No <br /> Y training within the past 12 months?ee duties received the required facility <br /> 13. COMMENTS © ❑ <br /> This section maybe used to recortl comments or observations that are not current compNance <br /> deficiencies. <br /> %answers marked`No"must be described by the designated UST <br /> °perator in Section 3, <br /> Page 4 Of 4 <br /> Lydia Baker, SR. REHS Page 5 of 22 <br />
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