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COMPLIANCE INFO_2022
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_2022
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Last modified
12/21/2022 8:06:08 AM
Creation date
8/22/2022 4:47:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
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
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SJGOV\kblackwell
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EHD - Public
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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 6. SENSOR TESTING RESULTS <br /> List only sensors tested on date of this certification. List "Sensor ID"as labeled in system <br /> programming. Additional copies of this page may be attached to accommodate all sensors tested. <br /> Sensor lD Sensor Model Component(s) Monitored Pass Fail <br /> L - 1 3 0 4 VENT TRANSITION SUMP BRINE 0 ❑ <br /> L - 2 3 0 4 PRODUCT LINE TRANSITION SUMP 0 ❑ <br /> L - 3 3 0 3 DIESEL ANNULAR SPACE D ❑ <br /> L - 4 3 0 4 REMOTE FILL SUMP BRINE D ❑ <br /> L - 5 3 0 4 TANK FILL SUMP BRINE 0 ❑ <br /> L - 6 3 0 4 DIESEL S T P SUMP BRINE 0 ❑ <br /> ❑ ❑ <br /> SMARTSENSORS ❑ ❑ <br /> S - 1 0 0 1 FUEL OIL RETURN LINE - SECONDARY 0 ❑ <br /> S - 2 0 0 1 FUEL OIL SUPPLY LINE - SECONDARY 0 ❑ <br /> S - 3 0 0 1 VENT LINE - SECONDARY 0 0 <br /> S - 4 0 0 1 REMOTE FILL LINE - SECONDARY 0 ❑ <br /> ❑ ❑ <br /> SMART PROBES ❑ ❑ <br /> S - 9 1 1 1 VENT TRANSITION SUMP 0 ❑ <br /> S - 10 1 1 1 SUPPLY LINE TRANSITION SUMP 0 ❑ <br /> S - 11 1 1 2 REMOTE FILL SUMP 0 ❑ <br /> S - 12 1 1 2 TANKTOP FILL SUMP 0 ❑ <br /> S - 13 1 1 2 DIESEL S T P SUMP 0 ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> Describe all answers marked "No"or "Fail'and proposed remedy in Section 9. <br /> List all monitoring equipment either replaced or repaired in Section 9 <br /> Page 3 of 6 <br />
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